Brokes, Michelle L

Brokes, Michelle L is an individual health care provider with primary practice located at 1602 N Aylward Ave , Ellsworth KS 67439-2541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brokes, Michelle L can be contacted via phone (785) 472-3111.

Contact Information

Primary practice address
1602 N Aylward Ave Ellsworth KS 67439-2541
Phone: (785) 472-3111
Fax: (785) 472-5731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X T01546 Kansas

Profile Details

NPI number 1972798353
LBN Legal business name Brokes, Michelle L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Dec 17th, 2009 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972798353 NPPES
Kansas Other T01546 STATE LICENSE
Kansas MEDICAID 200548240C STATE LICENSE

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