Iwanski, Brooke Nichole
Iwanski, Brooke Nichole is an sole proprietor health care provider with primary practice located at 9101 W College Pointe Dr Ste 1 , Fort Myers FL 33919-3390. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Iwanski, Brooke Nichole can be contacted via phone (239) 208-0088.Contact Information
Primary practice address
9101 W College Pointe Dr Ste 1
Fort Myers FL 33919-3390
Phone: (239) 208-0088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH10604 | Florida |
Profile Details
| NPI number | 1992063135 |
|---|---|
| LBN Legal business name | Iwanski, Brooke Nichole |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2012 |
| Last updated | Jun 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992063135 | NPPES |
| Florida | MEDICAID | 0193652102 |
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