Brooks, Jeffrey B
Brooks, Jeffrey B is an individual health care provider with primary practice located at 999 N Stone St Ste B , Deland FL 32720-0800. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Brooks, Jeffrey B can be contacted via phone (386) 740-4015.Contact Information
Primary practice address
999 N Stone St Ste B
Deland FL 32720-0800
Phone: (386) 740-4015
Fax: (386) 736-7998
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ME0026840 | Florida |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME26840 | Florida |
Profile Details
NPI number | 1487650495 |
---|---|
LBN Legal business name | Brooks, Jeffrey B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Mar 31st, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487650495 | NPPES |
Florida | MEDICAID | 037821600 |
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