Provider Demographics
NPI:1528228335
Name:ROHMAN, BROOKS A (DC)
Entity Type:Individual
Prefix:DR
First Name:BROOKS
Middle Name:A
Last Name:ROHMAN
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 1:1476 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:WELCOME
Mailing Address - State:MN
Mailing Address - Zip Code:56181-1314
Mailing Address - Country:US
Mailing Address - Phone:507-848-0291
Mailing Address - Fax:
Practice Address - Street 1:1476 130TH AVE
Practice Address - Street 2:
Practice Address - City:WELCOME
Practice Address - State:MN
Practice Address - Zip Code:56181-1314
Practice Address - Country:US
Practice Address - Phone:507-848-0291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-15
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350004440Medicare PIN