Brooks, Johanna M

Brooks, Johanna M is an individual health care provider with primary practice located at 14239 West Bell Road Suite 112, Surprise AZ 85374-2469. 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, Johanna M can be contacted via phone (623) 876-9983.

Contact Information

Primary practice address
14239 West Bell Road Suite 112 Surprise AZ 85374-2469
Phone: (623) 876-9983
Fax: (623) 876-9984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3785 Arizona

Profile Details

NPI number 1700835642
LBN Legal business name Brooks, Johanna M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 28th, 2014 - about 11 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 1700835642 NPPES
Arizona Other 3785 ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS

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