Brooks-Roach, Wantina Wynette

Brooks-Roach, Wantina Wynette is an sole proprietor health care provider with primary practice located at 10 Girard St Ste B , Florence KY 41042-5106. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Brooks-Roach, Wantina Wynette can be contacted via phone (859) 363-6050.

Contact Information

Primary practice address
10 Girard St Ste B Florence KY 41042-5106
Phone: (859) 363-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 9000017 Kentucky

Profile Details

NPI number 1730218561
LBN Legal business name Brooks-Roach, Wantina Wynette
Credentials LCPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Nov 27th, 2020 - about 5 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 1730218561 NPPES
Kentucky Other 9000017 KENTUCKY MIDWIFE LICENSE

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