Individual
DR. SARAH GREENE VAN BROCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
10 CIRCLE DR STE 1, NORTH LIBERTY, IA 52317-8818
(319) 665-2323
(319) 665-2327
Mailing address
10 CIRCLE DR, # 1, NORTH LIBERTY, IA 52317-8818
(641) 224-9992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007435
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I19566001
PTAN
IA
Enumeration date
07/08/2011
Last updated
08/04/2016
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