Brooks, Richard
Brooks, Richard is an sole proprietor health care provider with primary practice located at 120 Preston Executive Dr Suite 100, Cary NC 27513-8445. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brooks, Richard can be contacted via phone (919) 468-9775.Contact Information
Primary practice address
120 Preston Executive Dr Suite 100
Cary NC 27513-8445
Phone: (919) 468-9775
Fax: (919) 468-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 6320 | North Carolina |
Profile Details
| NPI number | 1053538330 |
|---|---|
| LBN Legal business name | Brooks, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053538330 | NPPES |
| North Carolina | MEDICAID | 899001W |
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