Brockman, Robert
Brockman, Robert is an individual health care provider with primary practice located at 375 N Wall St Suite P640, Kankakee IL 60901-3483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brockman, Robert can be contacted via phone (815) 932-0911.Contact Information
Primary practice address
375 N Wall St Suite P640
Kankakee IL 60901-3483
Phone: (815) 932-0911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Illinois |
Profile Details
| NPI number | 1437115722 |
|---|---|
| LBN Legal business name | Brockman, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437115722 | NPPES |
| Illinois | Other | 4615036 | BCBS PROVIDER ID |
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