Brooker, Sandra M
Brooker, Sandra M is an individual health care provider with primary practice located at 11900 Fairhill Rd Suite 300, Cleveland OH 44120-1053. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Brooker, Sandra M can be contacted via phone (216) 373-1753.Contact Information
Primary practice address
11900 Fairhill Rd Suite 300
Cleveland OH 44120-1053
Phone: (216) 373-1753
Fax: (216) 373-1814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | I3385 | Ohio |
Profile Details
| NPI number | 1497935498 |
|---|---|
| LBN Legal business name | Brooker, Sandra M |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Nov 7th, 2007 - 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 | 1497935498 | NPPES |
| Ohio | MEDICAID | 0959539 | |
| Ohio | Other | 9235411 |
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