Brooks, Mark E
Brooks, Mark E is an individual health care provider with primary practice located at 116 Meridian Way Ste 9 , Richmond KY 40475-2876. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical is his primary health care specialty. Brooks, Mark E can be contacted via phone (859) 626-3131.Contact Information
Primary practice address
116 Meridian Way Ste 9
Richmond KY 40475-2876
Phone: (859) 626-3131
Fax: (859) 625-1109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT38134 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 001746 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical | 2251E1300X | 001746 | Kentucky |
Profile Details
| NPI number | 1003807819 |
|---|---|
| LBN Legal business name | Brooks, Mark E |
| Credentials | PT, DSC, ECS, OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jan 26th, 2023 - about last year |
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 | 1003807819 | NPPES |
| Kentucky | Other | 000000215122 | BC/BS SPTA |
| Kentucky | Other | 000000310944 | BC/BS SPTA |
| Kentucky | Other | 000000060027 | BC/BS SPTA |
| Kentucky | Other | 000000333709 | BC/BS SPTA |
| Kentucky | Other | 611208897 | BC/BS SPTA |
| Kentucky | Other | 611208897 | BC/BS SPTA |
| Kentucky | Other | 611208897 | BC/BS SPTA |
| Kentucky | MEDICAID | 87000006 | BC/BS SPTA |
| Kentucky | Other | 611208897 | BC/BS SPTA |
| Kentucky | Other | 611208897 | BC/BS SPTA |
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