# MARJORIE A BROCKMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861414138
- **Gender:** F
- **Credential:** R.N., D.C., C. AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIA-749 | ID | — |
| 171100000X | Acupuncturist | ACC66 | ID | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010023081 | BLUE SHIELD PROVIDER \# | ID |
| 01 | — | C-7499 | BLUE CROSS PROVIDER NUM | ID |