Individual
MR. ROBERT HARRY BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2311 AVENUE L STE 3, FORT MADISON, IA 52627-4031
(319) 372-3800
Mailing address
PO BOX 352, FORT MADISON, IA 52627-0352
(319) 372-3800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04987
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10206
BCBS
IA
05
—
1218768
—
IA
Enumeration date
08/02/2005
Last updated
01/21/2010
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