Provider Demographics
NPI:1316615719
Name:BOCHINSKI, BROOKE (MAC, LAC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:BOCHINSKI
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14201 CAINE STABLE RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21842-5694
Mailing Address - Country:US
Mailing Address - Phone:443-618-9618
Mailing Address - Fax:
Practice Address - Street 1:29 BROAD ST STE 205
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1055
Practice Address - Country:US
Practice Address - Phone:410-449-0554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUU02838171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist