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Individual

DR. JON NEIL BRODBECK

Active
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Individual

DR. JON NEIL BRODBECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X4005-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3013830
AETNAUNITED HEALTH CARE
NY
01
—
61297
ACN INSURANCE PLANS
NM
01
—
X7L48
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
12/06/2006
Last updated
06/01/2023
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