Brozovich, Thomas A

Brozovich, Thomas A is an individual health care provider with primary practice located at 2514 24Th St , Rock Island IL 61201-5304. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Brozovich, Thomas A can be contacted via phone (309) 788-3636.

Contact Information

Primary practice address
2514 24Th St Rock Island IL 61201-5304
Phone: (309) 788-3636
Fax: (309) 788-3638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1811969413
LBN Legal business name Brozovich, Thomas A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811969413 NPPES
Iowa MEDICAID 0503755
Iowa Other 08115270
Iowa Other 22514
Iowa Other 91262
Iowa Other 666030

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