Brooks, Mira J

Brooks, Mira J is an individual health care provider with primary practice located at 24431 Sherman St , Oak Park MI 48237-1850. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Brooks, Mira J can be contacted via phone (248) 752-8855.

Contact Information

Primary practice address
24431 Sherman St Oak Park MI 48237-1850
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1601000163 Michigan

Profile Details

NPI number 1326136060
LBN Legal business name Brooks, Mira J
Credentials AU.D. CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Mar 26th, 2015 - about 9 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 1326136060 NPPES
Other 0E01477 BCBS

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