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Individual
BRAD LEE FORBES
Active
Individual
BRAD LEE FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556084
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007781552
AETNA PIN
VA
01
—
136843
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
12/20/2006
Last updated
07/08/2007
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