Healthcare Provider Details

I. General information

NPI: 1346462025
Provider Name (Legal Business Name): RESULTS CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 04/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30838 VINES CREEK RD SUITE 2 A
DAGSBORO DE
19939-4385
US

IV. Provider business mailing address

30838 VINES CREEK RD SUITE 2 A
DAGSBORO DE
19939-4385
US

V. Phone/Fax

Practice location:
  • Phone: 302-408-0000
  • Fax:
Mailing address:
  • Phone: 302-408-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-924
License Number StateDE

VIII. Authorized Official

Name: DR. BRIAN BROSKOSKIE
Title or Position: MANAGER
Credential: DC
Phone: 302-408-0000