Brooker, Michelle

Brooker, Michelle is an individual health care provider with primary practice located at 5221 Stratford Ave , Powell OH 43065-8799. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brooker, Michelle can be contacted via phone (614) 791-8157.

Contact Information

Primary practice address
5221 Stratford Ave Powell OH 43065-8799
Phone: (614) 791-8157
Fax: (614) 791-8154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP 05927 Ohio

Profile Details

NPI number 1912102633
LBN Legal business name Brooker, Michelle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 23rd, 2010 - about 14 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 1912102633 NPPES
Ohio MEDICAID 2863370

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