Brockmann, Jacob

Brockmann, Jacob is an individual health care provider with primary practice located at 18700 N 64Th Dr Ste 205 , Glendale AZ 85308-7112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Brockmann, Jacob can be contacted via phone (602) 277-6211.

Contact Information

Primary practice address
18700 N 64Th Dr Ste 205 Glendale AZ 85308-7112
Phone: (602) 277-6211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 9130 Arizona

Profile Details

NPI number 1861121212
LBN Legal business name Brockmann, Jacob
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2022
Last updated Jun 9th, 2022 - about 3 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.

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