Brooks, Beulah M.
Brooks, Beulah M. is an individual health care provider with primary practice located at 172 Spring St , Charleston SC 29403-5220. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Brooks, Beulah M. can be contacted via phone (843) 722-8628.Contact Information
Primary practice address
172 Spring St
Charleston SC 29403-5220
Phone: (843) 722-8628
Fax: (843) 722-1055
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 123 | South Carolina |
Profile Details
NPI number | 1942293857 |
---|---|
LBN Legal business name | Brooks, Beulah M. |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2005 |
Last updated | Dec 14th, 2007 - about 17 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 | 1942293857 | NPPES |
South Carolina | Other | 84899 | MEDCOST |
South Carolina | Other | 9638584 | MEDCOST |
South Carolina | MEDICAID | DE1790 | MEDCOST |
South Carolina | Other | S346000 | MEDCOST |
South Carolina | Other | 480015086 | MEDCOST |
South Carolina | Other | P00374130 | MEDCOST |
South Carolina | MEDICAID | PD1233 | MEDCOST |
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