Individual
JACOB BLAKE BRUMBELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 N STATE ROAD 135 STE R, GREENWOOD, IN 46142-1321
(317) 893-3853
Mailing address
10306 SHELBYVILLE RD, LOUISVILLE, KY 40223-2914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08003139A
IN
111N00000X
Chiropractor
Primary
264594
KY
Other
Enumeration date
01/20/2020
Last updated
08/11/2021
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