Brodbeck, Jon Neil

Brodbeck, Jon Neil is an sole proprietor health care provider with primary practice located at 5976 Route 25A , Wading River NY 11792-2001. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Brodbeck, Jon Neil can be contacted via phone (631) 345-3035.

Contact Information

Primary practice address
5976 Route 25A Wading River NY 11792-2001
Phone: (631) 345-3035
Fax: (631) 345-3244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X4005-1 New York

Profile Details

NPI number 1477612547
LBN Legal business name Brodbeck, Jon Neil
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Jun 1st, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1477612547 NPPES
New York Other X7L48 EMPIRE BLUE CROSS BLUE SH
New York Other 3013830 EMPIRE BLUE CROSS BLUE SH
New York Other 61297 EMPIRE BLUE CROSS BLUE SH

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