Brooks, Martin William

Brooks, Martin William is an individual health care provider with primary practice located at 1451 N Gardner St Phoenix Emergency Services Of Scott County, Llc, Scottsburg IN 47170-7751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brooks, Martin William can be contacted via phone (812) 752-3456.

Contact Information

Primary practice address
1451 N Gardner St Phoenix Emergency Services Of Scott County, Llc Scottsburg IN 47170-7751
Phone: (812) 752-3456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01035157A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24580 Kentucky

Profile Details

NPI number 1568404515
LBN Legal business name Brooks, Martin William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 13th, 2010 - about 14 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 1568404515 NPPES
Kentucky MEDICAID 64127848
Kentucky MEDICAID 200115880

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