Brooks, Nathan Andrew
Brooks, Nathan Andrew is an individual health care provider with primary practice located at 100 Corporate Center Dr Ste 100 , Camp Hill PA 17011-1758. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Brooks, Nathan Andrew can be contacted via phone (717) 763-1174.Contact Information
Primary practice address
100 Corporate Center Dr Ste 100
Camp Hill PA 17011-1758
Phone: (717) 763-1174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | S1774 | Texas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD473401 | Pennsylvania |
Profile Details
| NPI number | 1578803409 |
|---|---|
| LBN Legal business name | Brooks, Nathan Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2013 |
| Last updated | Sep 21st, 2021 - about 3 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 | 1578803409 | NPPES |
| Texas | MEDICAID | 402906801 | |
| Texas | Other | 8LT459 | |
| Texas | Other | 402906802 |
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