Brooks, Jason Andrew

Brooks, Jason Andrew is an individual health care provider with primary practice located at 759 45Th Ave Suite 101, Munster IN 46321-2938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brooks, Jason Andrew can be contacted via phone (219) 922-6226.

Contact Information

Primary practice address
759 45Th Ave Suite 101 Munster IN 46321-2938
Phone: (219) 922-6226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01065114A Indiana

Profile Details

NPI number 1427215128
LBN Legal business name Brooks, Jason Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Mar 7th, 2023 - about last year

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 1427215128 NPPES
Indiana Other 01065114A MEDICAL LICENSE
Indiana Other 35-1441433 MEDICAL LICENSE
Indiana Other 1427215128 MEDICAL LICENSE
Indiana Other 9401139 MEDICAL LICENSE
Indiana Other IN5114 MEDICAL LICENSE
Indiana Other 35-1441433 MEDICAL LICENSE
Indiana Other 351441433 MEDICAL LICENSE
Indiana Other 570331 MEDICAL LICENSE
Indiana Other 01065114B MEDICAL LICENSE

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