Van Brocklin, Andrew John

Van Brocklin, Andrew John is an individual health care provider with primary practice located at 8333 N Davis Hwy , Pensacola FL 32514-6050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Van Brocklin, Andrew John can be contacted via phone (850) 474-8015.

Contact Information

Primary practice address
8333 N Davis Hwy Pensacola FL 32514-6050
Phone: (850) 474-8015
Fax: (850) 969-2840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS015794 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS11531 Florida

Profile Details

NPI number 1902181555
LBN Legal business name Van Brocklin, Andrew John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2011
Last updated Apr 16th, 2015 - about 9 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 1902181555 NPPES
Florida MEDICAID 009795100

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