Brooker, Seth A

Brooker, Seth A is an individual health care provider with primary practice located at 25A June St Ste 11 , Sanford ME 04073. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Brooker, Seth A can be contacted via phone (207) 490-7900.

Contact Information

Primary practice address
25A June St Ste 11 Sanford ME 04073
Phone: (207) 490-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP81406 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R039768 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81406 Maine

Profile Details

NPI number 1093826661
LBN Legal business name Brooker, Seth A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 11th, 2019 - about 6 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 1093826661 NPPES
Maine MEDICAID 416400099

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