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Contact Information

HEIDI A BROCKMYRE, L.AC.
4870 SANTA MONICA AVE
SUITE 2C
SAN DIEGO, CA92107-4802
 Phone: 619-518-6608
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for HEIDI A BROCKMYRE · (Female)

NPI Number 1134378813
Status Active
Credentials L.AC.
Entity Individual
Enumeration date 09/17/2008
Last updated 09/17/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 12558
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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