Provider Demographics
NPI:1558799403
Name:VOSBERG, BROCK ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:BROCK
Middle Name:ANDREW
Last Name:VOSBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8191 BIRCHWOOD CT
Mailing Address - Street 2:UNIT C
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2931
Mailing Address - Country:US
Mailing Address - Phone:515-276-8326
Mailing Address - Fax:515-276-5405
Practice Address - Street 1:8191 BIRCHWOOD CT
Practice Address - Street 2:UNIT C
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2931
Practice Address - Country:US
Practice Address - Phone:515-276-8326
Practice Address - Fax:515-276-5405
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor