Brooks, Lavell Edward
Brooks, Lavell Edward is an sole proprietor health care provider with primary practice located at 234 N Prairie Street , Union Springs AL 36089. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Brooks, Lavell Edward can be contacted via phone (334) 324-6832.Contact Information
Primary practice address
234 N Prairie Street
Union Springs AL 36089
Phone: (334) 324-6832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 6136761 | Alabama |
Profile Details
| NPI number | 1295259828 |
|---|---|
| LBN Legal business name | Brooks, Lavell Edward |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2017 |
| Last updated | Jul 25th, 2017 - about 7 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 | 1295259828 | NPPES |
| Alabama | MEDICAID | 6136761 |
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