Individual
DR. THOMAS STEVEN BRODAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., L.C.P.
Contact information
Practice address
1303 S WASHINGTON ST, DELPHI, IN 46923-8729
(765) 564-4898
(765) 564-2414
Mailing address
1303 S WASHINGTON ST, DELPHI, IN 46923-8729
(765) 564-4898
(765) 564-2414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000733A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084814
ANTHEM
IN
05
—
100088960
—
IN
Enumeration date
06/16/2006
Last updated
11/22/2011
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