Brooks, Mary

Brooks, Mary is an individual health care provider with primary practice located at 743 Pismo St , San Luis Obispo CA 93401-3921. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Brooks, Mary can be contacted via phone (805) 549-9446.

Contact Information

Primary practice address
743 Pismo St San Luis Obispo CA 93401-3921
Phone: (805) 549-9446
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 355113 California

Profile Details

NPI number 1932113040
LBN Legal business name Brooks, Mary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932113040 NPPES
California MEDICAID 355113

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