Brooks, David A

Brooks, David A is an sole proprietor health care provider with primary practice located at 3000 N 14Th St Ste 3A , Bismarck ND 58503-0697. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Brooks, David A can be contacted via phone (701) 401-5342.

Contact Information

Primary practice address
3000 N 14Th St Ste 3A Bismarck ND 58503-0697
Phone: (701) 401-5342
Fax: (701) 751-3947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 278 North Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 278 North Dakota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 278 North Dakota

Profile Details

NPI number 1790839934
LBN Legal business name Brooks, David A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jan 22nd, 2024 - about 11 months 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 1790839934 NPPES
North Dakota MEDICAID 1452643

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