Individual
SHAWN K BROHL
Active
Individual
SHAWN K BROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121954
ANTHEM
OH
05
—
0107637
—
OH
01
—
02917
PARAMOUNT
OH
01
—
311574247-00
WORKERS COMP
OH
01
—
311574247-02
MMOH
OH
01
—
5979300
AETNA
OH
01
—
703052
BUCKEYE COMMUNITY HEALTH
OH
Enumeration date
06/24/2005
Last updated
11/29/2011
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