Brook, Mary Katherine
Brook, Mary Katherine is an individual health care provider with primary practice located at 1251 Ne Elm St , Prineville OR 97754-1206. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Brook, Mary Katherine can be contacted via phone (541) 323-5330.Contact Information
Primary practice address
1251 Ne Elm St
Prineville OR 97754-1206
Phone: (541) 323-5330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X | Oregon |
Profile Details
| NPI number | 1518404078 |
|---|---|
| LBN Legal business name | Brook, Mary Katherine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2017 |
| Last updated | Jan 23rd, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518404078 | NPPES |
| Oregon | MEDICAID | 283234 |
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