Icke, Brian S

Icke, Brian S is an individual health care provider with primary practice located at 1066 4Th St Suite B, Santa Rosa CA 95404-4321. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Icke, Brian S can be contacted via phone (707) 545-1650.

Contact Information

Primary practice address
1066 4Th St Suite B Santa Rosa CA 95404-4321
Phone: (707) 545-1650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 22374 California

Profile Details

NPI number 1396738084
LBN Legal business name Icke, Brian S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 8th, 2007 - about 17 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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