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Organization

RICHARD A BROEG DC PSC

Active
Other names
Broeg Chiropractic & Nutrition Center
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A BROEG DC (OWNER)
(859) 525-2020
Entity
Organization

Contact information

Practice address
1029 BURLINGTON PIKE, FLORENCE, KY 41042-1235
(859) 525-2020
(859) 525-0472
Mailing address
P.O. BOX 1057, FLORENCE, KY 41022-1057
(859) 525-2020
(859) 525-0472

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3438
KY
111NR0400X
Rehabilitation Chiropractor
3438
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85001261
KY
Enumeration date
04/02/2007
Last updated
01/23/2014
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