Brooks, Daniel Ray

Brooks, Daniel Ray is an individual health care provider with primary practice located at 6052 S Sheridan Rd , Tulsa OK 74145-9212. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Brooks, Daniel Ray can be contacted via phone (918) 488-0400.

Contact Information

Primary practice address
6052 S Sheridan Rd Tulsa OK 74145-9212
Phone: (918) 488-0400
Fax: (918) 488-8282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X LPED122 Oklahoma

Profile Details

NPI number 1326359316
LBN Legal business name Brooks, Daniel Ray
Credentials C.PED
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2010
Last updated Apr 27th, 2012 - about 12 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 1326359316 NPPES
Oklahoma Other CPED3358 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS

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