Dr. Jerald R Broderick is a Elkhart, Indiana based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Jerald R Broderick as General Chiropractor is 306 in Indiana. Dr. Jerald R Broderick is qualified as 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.
Complete Profile:
Dr. Jerald R Broderick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
1424 Johnson St, Elkhart, Indiana, 46514-3404
Phone:
574-264-4151
Fax:
574-262-9891
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1518923945
NPI Enumeration Date:
25 Apr, 2006
NPI Last Update On:
16 Mar, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jerald R Broderick are as mentioned below.
License Number
Specialization
State
Status
306
Chiropractor
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jerald R Broderick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100112520A
Medicaid
Indiana
306
Other
Indiana
COMMERCIAL/WC/AA
000000084724
Other
Indiana
BLUE CROSS/BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1424 Johnson St, Elkhart, Indiana
Zip:
46514-3404
Phone Number:
574-264-4151
Fax Number:
574-262-9891
Patients can reach Dr. Jerald R Broderick at 1424 Johnson St, Elkhart, Indiana or can call to book an appointment on 574-264-4151. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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