BRIAN ICKE, D.C.
Chiropractor
Active
Individual
NPI: 1396738084
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Chiropractor | 111N00000X | Yes | 22374 (CA) |
Frequently Asked Questions
NPI 1396738084 is the National Provider Identifier for BRIAN ICKE, D.C., a Chiropractor provider located in Santa Rosa, CA. This NPI was enumerated on August 26, 2005.
BRIAN ICKE, D.C. practices at 1066 4TH ST, SUITE B, Santa Rosa, CA 95404.
Quick Facts
- NPI
- 1396738084
- Type
- Individual
- Enumerated
- Aug 26, 2005
- Last Updated
- Jul 8, 2007
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