Brooke, Paul Joseph

Brooke, Paul Joseph is an sole proprietor health care provider with primary practice located at 16 Brentwood Rd , Bay Shore NY 11706-8011. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Brooke, Paul Joseph can be contacted via phone (631) 666-6661.

Contact Information

Primary practice address
16 Brentwood Rd Bay Shore NY 11706-8011
Fax: (631) 666-0424
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X X3583 New York

Profile Details

NPI number 1275749426
LBN Legal business name Brooke, Paul Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Apr 20th, 2011 - about 13 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 1275749426 NPPES
New York Other 421629281 TAX ID

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