Brooks, Sam
Brooks, Sam is an sole proprietor health care provider with primary practice located at 105 Executive Dr Ste C , Lafayette IN 47905-4869. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Brooks, Sam can be contacted via phone (219) 472-8900.Contact Information
Primary practice address
105 Executive Dr Ste C
Lafayette IN 47905-4869
Phone: (219) 472-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1457059354 |
|---|---|
| LBN Legal business name | Brooks, Sam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2023 |
| Last updated | Feb 20th, 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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