Brooks, Andrea Christin

Brooks, Andrea Christin is an sole proprietor health care provider with primary practice located at 1019 Cumberland Falls Hwy Ste D141 , Corbin KY 40701-2796. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brooks, Andrea Christin can be contacted via phone (606) 528-5527.

Contact Information

Primary practice address
1019 Cumberland Falls Hwy Ste D141 Corbin KY 40701-2796
Phone: (606) 528-5527
Fax: (606) 526-9687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1158 Kentucky

Profile Details

NPI number 1790924058
LBN Legal business name Brooks, Andrea Christin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2009
Last updated Nov 30th, 2018 - about 7 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 1790924058 NPPES
Kentucky MEDICAID 7100168690

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