Individual
MR. WILLIAM BROZOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1654 S COLORADO ST, GREENVILLE, MS 38703-7216
(662) 335-2854
(662) 335-0502
Mailing address
1654 S COLORADO ST, GREENVILLE, MS 38703-7216
(662) 335-2854
(662) 335-0502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
794
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00126651
MEDICAID INDIVID PROVIDER
MS
05
—
09016212
—
MS
01
—
C02618
MEDICARE PROVIDER GROUP
MS
Enumeration date
02/01/2007
Last updated
07/18/2007
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