Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKY BROCKBERG
Active Sole ProprietorRICKY BROCKBERG is a Air Carrier healthcare provider located in MANKATO, Minnesota. NPI 1235631052 is currently active in the NPPES registry. Verify at CMS.
Air Carrier · MANKATO, MN
Registration Details
- NPI Number
- 1235631052
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2018 (8.4597051205955 yrs)
- Last Updated
- Sep 17, 2021
- License
-
382785 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
931 MADISON AVE STE 203MANKATO, MN, 560016995Browse MN providers · Browse ZIP 56001
- Phone
- 5073448900
- Fax
- 8669206333
- Primary Specialty
-
Air Carrier
343800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.