| Brook Chiropractic, Inc | |
|
6504 E Carondelet Dr Tucson AZ 85710-2117 | |
| (520) 290-5570 | |
| (520) 290-5574 |
| Full Name | Brook Chiropractic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6504 E Carondelet Dr, Tucson, Arizona |
| Authorized Official Name and Position | Robert Thomas Brook (PRESIDENT) |
| Authorized Official Contact | 5202905570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brook Chiropractic, Inc 6504 E Carondelet Dr Tucson AZ 85710-2117 Ph: (520) 290-5570 | Brook Chiropractic, Inc 6504 E Carondelet Dr Tucson AZ 85710-2117 Ph: (520) 290-5570 |
| NPI Number | 1831451269 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 08/24/2020 |
| Medicare PECOS PAC ID | 6507020096 |
|---|---|
| Medicare Enrollment ID | O20120613000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831451269 | NPI | - | NPPES |
| 1326120155 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 952 (Arizona) | Primary |
| Provider Name | Robert T Brook |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326120155 PECOS PAC ID: 6608894662 Enrollment ID: I20051108000612 |
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