Individual
DR. NATHAN BROGHAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
214 BLAIRS FERRY RD NE, SUITE 2, CEDAR RAPIDS, IA 52402-1602
(319) 378-1515
(319) 378-9292
Mailing address
214 BLAIRS FERRY RD NE, SUITE 2, CEDAR RAPIDS, IA 52402-1602
(319) 378-1515
(319) 378-9292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007140
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88848
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/30/2008
Last updated
03/13/2012
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