Marjorie A Brockman, RN, DC, C AC is a
Acupuncturist based in Gooding, Idaho. Marjorie A Brockman is licensed to practice in Idaho (license number ACC66) and her current practice location is
445 Idaho St, Gooding, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 934-5000.
NPI number for Marjorie A Brockman is 1861414138 and her current mailing address is 445 Idaho St, Gooding, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861414138.
Healthcare Provider's Profile
| Full Name | Marjorie A Brockman |
|---|
| Gender | Female |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 445 Idaho St, Gooding, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861414138
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Marjorie A Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861414138 | NPI | - | NPPES |
| 000010023081 | Other | ID | BLUE SHIELD PROVIDER # |
| C-7499 | Other | ID | BLUE CROSS PROVIDER NUM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIA-749 (Idaho) | Primary |
| 171100000X | Acupuncturist | ACC66 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marjorie A Brockman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marjorie A Brockman, RN, DC, C AC
445 Idaho St,
Gooding, ID 83330-1258
Ph: (208) 934-5000 | Marjorie A Brockman, RN, DC, C AC
445 Idaho St,
Gooding, ID 83330-1258
Ph: (208) 934-5000 |
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