MEDICARE: RESULTS CHIROPRACTIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	F1-924	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RE616262	OTHER	PA	PA HIGHMARK

General Provider Information

NPI Number	:	1346462025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESULTS CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	30838 VINES CREEK RD
Second Line	:	SUITE 2 A
City	:	DAGSBORO
State	:	DE
Zip	:	19939-4385
Country	:	US
Telephone Number	:	302-408-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	30838 VINES CREEK RD
Second Line	:	SUITE 2 A
City	:	DAGSBORO
State	:	DE
Zip	:	19939-4385
Country	:	US
Telephone Number	:	302-408-0000
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. BRIAN BROSKOSKIE
Credential	:	DC
Telephone Number	:	302-408-0000

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	04/03/2017

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Directions to “RESULTS CHIROPRACTIC, LLC ” Practice Location

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