Brooks, Fred
Brooks, Fred is an individual health care provider with primary practice located at 415 Medical Dr Ste D101 , Bountiful UT 84010-8905. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Brooks, Fred can be contacted via phone (801) 683-1062.Contact Information
Primary practice address
415 Medical Dr Ste D101
Bountiful UT 84010-8905
Phone: (801) 683-1062
Fax: (801) 295-5537
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | 692921 | Utah |
Profile Details
NPI number | 1235694001 |
---|---|
LBN Legal business name | Brooks, Fred |
Credentials | M.ED; ED.S |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 6th, 2019 |
Last updated | Feb 6th, 2019 - about 6 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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