Brooks, Jennifer Lynne

Brooks, Jennifer Lynne is an sole proprietor health care provider with primary practice located at 1801 N 6Th St Ste 600 , Terre Haute IN 47804-4097. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brooks, Jennifer Lynne can be contacted via phone (812) 235-4867.

Contact Information

Primary practice address
1801 N 6Th St Ste 600 Terre Haute IN 47804-4097
Phone: (812) 235-4867
Fax: (812) 232-8059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085003316 Illinois

Profile Details

NPI number 1023268240
LBN Legal business name Brooks, Jennifer Lynne
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2008
Last updated May 19th, 2014 - about 10 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 1023268240 NPPES
Other 940939 HEALTHLINK
Other 153063 HEALTHLINK

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