Brooks, Jeffrey Scott

Brooks, Jeffrey Scott is an individual health care provider with primary practice located at 11709 Old Ballas Rd Suite 201, Creve Coeur MO 63141-7029. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brooks, Jeffrey Scott can be contacted via phone (314) 432-1903.

Contact Information

Primary practice address
11709 Old Ballas Rd Suite 201 Creve Coeur MO 63141-7029
Fax: (314) 432-5105
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000366 Missouri

Profile Details

NPI number 1962418277
LBN Legal business name Brooks, Jeffrey Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 26th, 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 1962418277 NPPES
Missouri MEDICAID 300900842

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