Brook, Sage E

Brook, Sage E is an individual health care provider with primary practice located at 325 Hawthorne Ln , Charlotte NC 28204-2535. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Brook, Sage E can be contacted via phone (704) 973-2106.

Contact Information

Primary practice address
325 Hawthorne Ln Charlotte NC 28204-2535
Phone: (704) 973-2106
Fax: (704) 973-2395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 126103 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 126103 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 123103 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 104 North Carolina

Profile Details

NPI number 1952398729
LBN Legal business name Brook, Sage E
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Oct 25th, 2020 - about 4 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 1952398729 NPPES
North Carolina MEDICAID 1952398729
North Carolina Other 104
North Carolina MEDICAID 7002111
North Carolina Other 126103
North Carolina MEDICAID MW0167

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