Brooks, John

Brooks, John is an individual health care provider with primary practice located at 255 W Bute St , Norfolk VA 23510-1403. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brooks, John can be contacted via phone (757) 627-3790.

Contact Information

Primary practice address
255 W Bute St Norfolk VA 23510-1403
Phone: (757) 627-3790
Fax: (757) 623-5023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01010-28786 Virginia

Profile Details

NPI number 1881602555
LBN Legal business name Brooks, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jun 4th, 2012 - about 13 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 1881602555 NPPES
Virginia MEDICAID 006081312
Virginia Other 541210461

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