Dr Dwayne Allen Brouse, DC | |
10032 Warwickshire Ln, Charlotte, NC 28270-2566 | |
(704) 840-4556 | |
Not Available |
Full Name | Dr Dwayne Allen Brouse |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 10032 Warwickshire Ln, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801987938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3389 (North Carolina) | Primary |
111N00000X | Chiropractor | S02177 (Maryland) | Secondary |
Provider Name | Dmb Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770873903 PECOS PAC ID: 3072799790 Enrollment ID: O20110513000644 |
Mailing Address | Practice Location Address |
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Dr Dwayne Allen Brouse, DC 10032 Warwickshire Lane, Charlotte, NC 28270 Ph: (704) 845-5958 | Dr Dwayne Allen Brouse, DC 10032 Warwickshire Ln, Charlotte, NC 28270-2566 Ph: (704) 840-4556 |
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