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JAY BRODWYN CLINICARE OF COLUMBUS INC NPI 1851325104


NPI Information

NPI: 1851325104
Provider Name: JAY BRODWYN CLINICARE OF COLUMBUS INC

Other Name: JAY BRODWYN

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3624 EDGEWOOD RD
COLUMBUS, GA
ZIP 31907
Phone: (706) 563-3370
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JAY BRODWYN CLINICARE OF COLUMBUS INC is a chiropractor in Columbus, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JAY BRODWYN CLINICARE OF COLUMBUS INC NPI is 1851325104. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Jay Brodwyn.

The provider's business location address is:

3624 EDGEWOOD RD
COLUMBUS, GA
ZIP 31907-184
Phone: (706) 563-3370
Fax: (706) 563-3501

The provider's authorized official is Ivan Jay Brodwyn .
The authorized official title is Doctor and has the following contact phone number (706) 563-3370.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 3/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC1811GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP7365MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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