Individual
DR. BROOKE BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1501 LAKESTONE VILLAGE LN STE 105, FUQUAY VARINA, NC 27526-4449
(919) 577-2225
(919) 577-2226
Mailing address
1501 LAKESTONE VILLAGE LN STE 105, FUQUAY VARINA, NC 27526-4449
(919) 577-2225
(919) 577-2226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4495
NC
111N00000X
Chiropractor
5918
MN
Other
Enumeration date
05/01/2014
Last updated
03/17/2018
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