Brokaw, Ian

Brokaw, Ian is an individual health care provider with primary practice located at 65 Albany Tpke , Canton CT 06019-2507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Brokaw, Ian can be contacted via phone (860) 693-6226.

Contact Information

Primary practice address
65 Albany Tpke Canton CT 06019-2507
Phone: (860) 693-6226
Fax: (860) 693-8002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 10642 Connecticut
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 10642 Connecticut

Profile Details

NPI number 1356838262
LBN Legal business name Brokaw, Ian
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2018
Last updated Apr 16th, 2018 - about 7 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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