Ian Brokaw
Physical Medicine & Rehabilitation Doctor Sports Medicine
65 Albany Tpke
Canton
, Connecticut 06019-2507
Ian Brokaw
Physical Medicine & Rehabilitation Doctor Sports Medicine
65 Albany Tpke
Canton
, Connecticut 06019-2507
(860) 693-8002
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Sports Medicine
Languages spoken
- English
Location
First Address
- Ian Brokaw
- Po Box 466
- Canton, CT
- Zip : 06019-0466
- Fax : (860) 693-8002
- Phone : (860) 693-6226
Second Address
- Ian Brokaw
- 65 Albany Tpke
- Canton, CT
- Zip : 06019-2507
- Fax : (860) 693-8002
- Phone : (860) 693-6226
Reviews
FAQs
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In what state does Ian Brokaw practice in?
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Is Ian Brokaw a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 10642 | CT |
| N | 2081S0010X | Sports Medicine | 10642 | CT |
| N | 213ES0000X | Sports Medicine | 10642 | CT |
National Provider Identifier
| NPI | 1356838262 |
|---|---|
| Provider Name | Ian Brokaw |
| First Address | Canton, CT 06019-0466 |
| Second Address | Canton, CT 06019-2507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2018 |
| Last Update Date | 16/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.