Organization
BROSMER CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED MICHAEL BROSMER D.C. (PRESIDENT)
(812) 634-1977
Entity
Organization
Contact information
Practice address
1525 NEWTON ST, JASPER, IN 47546-1622
(812) 634-1977
Mailing address
1525 NEWTON ST, JASPER, IN 47546-1622
(812) 634-1977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001991A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202113
ANTHEM
IN
Enumeration date
10/30/2007
Last updated
04/11/2008
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