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NPI Code Detail

MEDICARE: DR. ALAN DAVID BROERING D.C.

MEDICARE:  DR. ALAN DAVID BROERING  D.C.
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
1111N00000XChiropractor038.012115IL

General Provider Information

NPI Number : 1306116975
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN DAVID BROERING D.C.
Provider Business Mailing Address
First Line : 110 S WYNSTONE PARK DR
Second Line : STE 105
City : NORTH BARRINGTON
State : IL
Zip : 60010-6980
Country : US
Telephone Number : 419-305-1377
Fax Number :
Provider Business Practice Location Address
First Line : 110 S WYNSTONE PARK DR
Second Line : STE 105
City : N BARRINGTON
State : IL
Zip : 60010-6979
Country : US
Telephone Number : 419-305-1377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2012
Last Update Date : 02/17/2017

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Directions to “ DR. ALAN DAVID BROERING D.C.” Practice Location

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