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Contact Information

REGINA P BROCKMAN, D.C.
3951 BARDSTOWN RD
SPRINGFIELD, KY40069-8450
 Phone: 859-336-8446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for REGINA P BROCKMAN · (Female)

NPI # 1881739555
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 02/21/2007
Last updated 10/24/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 4174
  • KY Medicaid 85003374
  • KY Other 616822 ACN
  • KY Other 000000256734 ANTHEM
  • KY Other 0269566 CIGNA
  • KY Other 1220237 NGS
  • KY Other 2448139000 PASSPORT ADVANTAGE
  • KY Other 50006949 PASSPORT HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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