Brooks, Larry E
Brooks, Larry E is an individual health care provider with primary practice located at 351 North Greensburg Street , North Vernon IN 47265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brooks, Larry E can be contacted via phone (812) 346-7753.Contact Information
Primary practice address
351 North Greensburg Street
North Vernon IN 47265
Phone: (812) 346-7753
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01030932A | Indiana |
Profile Details
| NPI number | 1023086014 |
|---|---|
| LBN Legal business name | Brooks, Larry E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Apr 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023086014 | NPPES |
| Indiana | MEDICAID | 100140500 | |
| Indiana | Other | DC3600 | |
| Indiana | Other | P00471276 |
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