Brooks, Homer E.

Brooks, Homer E. is an individual health care provider with primary practice located at 4802E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Brooks, Homer E. can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4802E Johnson Ave Jonesboro AR 72401-8413
Phone: (870) 936-8000
Fax: (870) 934-3636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X E0523 Arkansas

Profile Details

NPI number 1154397537
LBN Legal business name Brooks, Homer E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 30th, 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 1154397537 NPPES
Arkansas MEDICAID 127365001

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