Brooks, Alissa S
Brooks, Alissa S is an individual health care provider with primary practice located at 300 W Hospital Rd Medical Evaluation Board, Fort Gordon GA 30905-5741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brooks, Alissa S can be contacted via phone (315) 767-2571.Contact Information
Primary practice address
300 W Hospital Rd Medical Evaluation Board
Fort Gordon GA 30905-5741
Phone: (315) 767-2571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 237512 | New York |
Profile Details
| NPI number | 1386697506 |
|---|---|
| LBN Legal business name | Brooks, Alissa S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Oct 3rd, 2013 - about 11 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 | 1386697506 | NPPES |
| New York | MEDICAID | 00354316 |
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