Brooks, Robert C

Brooks, Robert C is an individual health care provider with primary practice located at 6301 University Commons Suite 360, South Bend IN 46635-1571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Brooks, Robert C can be contacted via phone (574) 232-4800.

Contact Information

Primary practice address
6301 University Commons Suite 360 South Bend IN 46635-1571
Fax: (574) 280-4810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01029129 Indiana

Profile Details

NPI number 1710915244
LBN Legal business name Brooks, Robert C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 7th, 2023 - about 2 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 1710915244 NPPES
Indiana MEDICAID 100337980A
Indiana Other 01029129
Indiana Other 000000085509

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