Individual
JOANNE BROCKHOEFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20871 STATE ROUTE 41, PEEBLES, OH 45660-9746
(937) 779-6125
Mailing address
20871 STATE ROUTE 41, PEEBLES, OH 45660-9746
(937) 779-6125
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073858
—
OH
Enumeration date
10/07/2020
Last updated
10/07/2020
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