Brooks, Charles Michael

Brooks, Charles Michael is an individual health care provider with primary practice located at 3131 College Heights Blvd Suite 1200, Allentown PA 18104-4812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Brooks, Charles Michael can be contacted via phone (610) 439-8551.

Contact Information

Primary practice address
3131 College Heights Blvd Suite 1200 Allentown PA 18104-4812
Phone: (610) 439-8551
Fax: (610) 439-1435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD010917E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD010917E Pennsylvania

Profile Details

NPI number 1750373155
LBN Legal business name Brooks, Charles Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Sep 18th, 2015 - about 9 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 1750373155 NPPES
Pennsylvania MEDICAID 000639213-0001

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