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Contact Information

MARJORIE A BROCKMAN, R.N., D.C., C. AC
445 IDAHO ST
GOODING, ID83330-1258
 Phone: 208-934-5000
 Fax: 208-934-5284
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARJORIE A BROCKMAN · (Female)

NPI Number 1861414138
Status Active
Credentials R.N., D.C., C. AC
Entity Individual
Enumeration date 07/24/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • ID License # ACC66
  • ID License # CHIA-749
  • ID Other C-7499 BLUE CROSS PROVIDER NUM
  • ID Other 000010023081 BLUE SHIELD PROVIDER #
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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