Asseres, Brooktiete
Asseres, Brooktiete is an individual health care provider with primary practice located at 3569 Willow Green Dr , Apex NC 27502-2507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Asseres, Brooktiete can be contacted via phone (240) 338-1418.Contact Information
Primary practice address
3569 Willow Green Dr
Apex NC 27502-2507
Phone: (240) 338-1418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D97797 | Maryland |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2013-01617 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2013-01617 | North Carolina |
Profile Details
| NPI number | 1063732055 |
|---|---|
| LBN Legal business name | Asseres, Brooktiete |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2010 |
| Last updated | Jul 10th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063732055 | NPPES |
| North Carolina | Other | 1513788 | WELLPATH |
| North Carolina | Other | 247602 | WELLPATH |
| North Carolina | Other | 3652537 | WELLPATH |
| North Carolina | Other | 7520999 | WELLPATH |
| North Carolina | Other | 1063732055 | WELLPATH |
| North Carolina | MEDICAID | 1063732055 | WELLPATH |
| North Carolina | Other | 1063732055 | WELLPATH |
| North Carolina | Other | 1063732055 | WELLPATH |
| North Carolina | Other | 13305729 | WELLPATH |
| North Carolina | Other | 1513788 | WELLPATH |
| North Carolina | Other | 1806P | WELLPATH |
| North Carolina | Other | 9225005 | WELLPATH |
| North Carolina | Other | FH1101395 | WELLPATH |
| North Carolina | Other | 1063732055 | WELLPATH |
| North Carolina | Other | 4468100 | WELLPATH |
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