Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | F1-0000407 | DE |
NPI | 1235178195 |
---|---|
Provider Name | Robert Brooke Stryker |
First Address | Wilmington, DE 19805-4933 |
Second Address | Wilmington, DE 19805-4933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 09/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300330319 | BC/BS OF DE (01) | DE |
300330319 | CIGNA (01) | DE |
300330319 | UNITED HEALTHCARE (01) | DE |
7454421 | AETNA (01) | DE |
967792 | INDEPENDENCE BLUE CROSS (01) | DE |