Brooks, Ideria

Brooks, Ideria is an individual health care provider with primary practice located at 2965 N Pierce St , Milwaukee WI 53212-2553. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Brooks, Ideria can be contacted via phone (414) 263-1579.

Contact Information

Primary practice address
2965 N Pierce St Milwaukee WI 53212-2553
Phone: (414) 263-1579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 29180 Wisconsin

Profile Details

NPI number 1952370223
LBN Legal business name Brooks, Ideria
Credentials LICENSED PRACTICAL N
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1952370223 NPPES
Wisconsin MEDICAID 39989100

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