Individual
JONATHON BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
3520 W 75TH ST, STE 105, PRAIRIE VILLAGE, KS 66208-4102
(816) 883-2664
(913) 262-4330
Mailing address
215 SHUMAN BLVD, STE 401, NAPERVILLE, IL 60563-8458
(331) 229-8208
(978) 303-6824
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1675
KS
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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