Brooklyn, John Ross

Brooklyn, John Ross is an individual health care provider with primary practice located at 75 San Remo Dr , South Burlington VT 05403-6385. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Brooklyn, John Ross can be contacted via phone (802) 488-7350.

Contact Information

Primary practice address
75 San Remo Dr South Burlington VT 05403-6385
Phone: (802) 488-7350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420008256 Vermont
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 042-0008256 Vermont

Profile Details

NPI number 1588640635
LBN Legal business name Brooklyn, John Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Aug 22nd, 2016 - about 8 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 1588640635 NPPES
Vermont Other 08V031 MVP
Vermont MEDICAID 0009674 MVP
Vermont Other 1554 MVP
Vermont Other 1554 MVP
Vermont Other 385701 MVP
Vermont Other 9674 MVP
Vermont Other 0420008256 MVP

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