Provider Demographics
NPI:1235178195
Name:STRYKER, ROBERT BROOKE (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:BROOKE
Last Name:STRYKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 KIRKWOOD HWY
Mailing Address - Street 2:1A
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-4933
Mailing Address - Country:US
Mailing Address - Phone:302-655-3239
Mailing Address - Fax:302-652-2995
Practice Address - Street 1:2118 KIRKWOOD HWY
Practice Address - Street 2:1A
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-4933
Practice Address - Country:US
Practice Address - Phone:302-655-3239
Practice Address - Fax:302-652-2995
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000407111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE967792OtherINDEPENDENCE BLUE CROSS
DE7454421OtherAETNA
DE300330319OtherBC/BS OF DE
DE300330319OtherUNITED HEALTHCARE
DE300330319OtherCIGNA
DE300330319OtherUNITED HEALTHCARE