Brooke, Roger W
Brooke, Roger W is an sole proprietor health care provider with primary practice located at 224 Penn Ave Suite 2A, Wilkinsburg PA 15221-2154. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brooke, Roger W can be contacted via phone (412) 371-7330.Contact Information
Primary practice address
224 Penn Ave Suite 2A
Wilkinsburg PA 15221-2154
Phone: (412) 371-7330
Fax: (412) 242-4732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS007832L | Pennsylvania |
Profile Details
| NPI number | 1265488837 |
|---|---|
| LBN Legal business name | Brooke, Roger W |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Jul 5th, 2008 - about 17 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 | 1265488837 | NPPES |
| Pennsylvania | Other | 118389 | VALUEOPTIONS |
| Pennsylvania | MEDICAID | 1601598 | VALUEOPTIONS |
| Pennsylvania | Other | 526417 | VALUEOPTIONS |
| Pennsylvania | Other | 680008001 | VALUEOPTIONS |
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