Brooks, Bobby Joe
Brooks, Bobby Joe is an sole proprietor health care provider with primary practice located at 127 Kingswood Dr , Campbellsville KY 42718-9634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brooks, Bobby Joe can be contacted via phone (270) 789-3410.Contact Information
Primary practice address
127 Kingswood Dr
Campbellsville KY 42718-9634
Phone: (270) 789-3410
Fax: (270) 465-2449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17421 | Kentucky |
Profile Details
| NPI number | 1689670671 |
|---|---|
| LBN Legal business name | Brooks, Bobby Joe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 21st, 2010 - about 14 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 | 1689670671 | NPPES |
| Kentucky | MEDICAID | 64174212 |
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