Provider Demographics
NPI:1447320130
Name:BROHL HEALTHCARE, INC.
Entity type:Organization
Organization Name:BROHL HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BROHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-866-6325
Mailing Address - Street 1:6823 SPRING VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528
Mailing Address - Country:US
Mailing Address - Phone:419-866-6325
Mailing Address - Fax:419-866-2020
Practice Address - Street 1:6823 SPRING VALLEY DR.
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528
Practice Address - Country:US
Practice Address - Phone:419-866-6325
Practice Address - Fax:419-866-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2089111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000121954OtherANTHEM
OH02917OtherPARAMOUNT
OH703052OtherBUCKEYE COMMUNITY HEALTH
OH0107637Medicaid
OH0107637Medicaid
OH000000121954OtherANTHEM
OH=========OtherTAX ID
BR9294071Medicare PIN