Brodwyn, Ivan Jay
Brodwyn, Ivan Jay is an sole proprietor health care provider with primary practice located at 3624 Edgewood Rd , Columbus GA 31907-2184. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Brodwyn, Ivan Jay can be contacted via phone (706) 563-3370.Contact Information
Primary practice address
3624 Edgewood Rd
Columbus GA 31907-2184
Phone: (706) 563-3370
Fax: (706) 563-3501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC1811 | Georgia |
Profile Details
| NPI number | 1538193503 |
|---|---|
| LBN Legal business name | Brodwyn, Ivan Jay |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jan 15th, 2014 - about 10 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 | 1538193503 | NPPES |
| Georgia | Other | 7365 | GRP NUMBER |
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