Brooks, Johnnie Ray

Brooks, Johnnie Ray is an sole proprietor health care provider with primary practice located at 1503 Oak St , Jacksonville FL 32204-3910. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brooks, Johnnie Ray can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
1503 Oak St Jacksonville FL 32204-3910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 9103751 Florida

Profile Details

NPI number 1063436848
LBN Legal business name Brooks, Johnnie Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 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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