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Brian S Icke, DC
Chiropractor in Santa Rosa, California
NPI 1396738084

Brian S Icke is a Chiropractor based in Santa Rosa, CA. Brian S Icke practices in Santa Rosa, CA and has the professional credentials of DC. The NPI Number for Brian S Icke is 1396738084 and holds a License No. 22374 (California).

The current practice location address for Brian S Icke is 1066 4Th St, Santa Rosa, CA and can be reached out via phone at 707-545-1650.

Location: 1066 4Th St, Santa Rosa, CA, 95404-4321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396738084
Provider Name
Brian S Icke
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1066 4Th St, Santa Rosa, CA, 95404-4321
Phone Number
707-545-1650
Fax Number
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1066 4Th St
City
Santa Rosa
State
California
Zip
95404-4321
Phone Number
707-545-1650
Fax Number
person
Provider Business Mailing Address Details
Address
1066 4Th St
City
Santa Rosa
State
California
Zip
95404-4321
Phone Number
707-545-1650
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
22374 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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