Brooks, Allie Michelle

Brooks, Allie Michelle is an individual health care provider with primary practice located at 2000 1St Ave , Summerville SC 29486-0408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brooks, Allie Michelle can be contacted via phone (843) 876-7930.

Contact Information

Primary practice address
2000 1St Ave Summerville SC 29486-0408
Phone: (843) 876-7930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26351 South Carolina

Profile Details

NPI number 1700517638
LBN Legal business name Brooks, Allie Michelle
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2022
Last updated Mar 21st, 2023 - about 2 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 1700517638 NPPES
South Carolina MEDICAID 230811

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