Individual
SHAWN K BROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6823 SPRING VALLEY DR, HOLLAND, OH 43528-9487
(419) 866-6325
Mailing address
6823 SPRING VALLEY DR, HOLLAND, OH 43528-9487
(419) 866-6325
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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