Thomas A Brozovich Dc Pc

LBN: Thomas A Brozovich Dc Pc
Thomas A Brozovich Dc Pc is an health care organization with primary practice located at 2514 24Th St , Rock Island IL 61201-5304. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Thomas A Brozovich Dc Pc can be contacted via phone (309) 788-3636, or through Brozovich, Thomas A 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:
Map and Directions
Authorized official contact:
Name: Brozovich, Thomas A Doctor of Chiropractic (DC)
Phone: (309) 788-3636

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038004582 Illinois

Profile Details

NPI number 1013215771
LBN Legal business name Thomas A Brozovich Dc Pc
DBA Doing business as
Authorized official Brozovich, Thomas A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2011
Last updated Mar 4th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013215771 NPPES
Iowa Other 91262 WELLMARK
Iowa MEDICAID 038004582 WELLMARK
Iowa MEDICAID 05-03755 WELLMARK
Iowa Other 08115270 WELLMARK

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