Brooks, Susan J

Brooks, Susan J is an individual health care provider with primary practice located at 1825 Marika Rd , Fairbanks AK 99709-5521. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Brooks, Susan J can be contacted via phone (907) 474-0890.

Contact Information

Primary practice address
1825 Marika Rd Fairbanks AK 99709-5521
Phone: (907) 474-0890
Fax: (907) 474-3621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1427328624
LBN Legal business name Brooks, Susan J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Jan 4th, 2012 - about 13 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 1427328624 NPPES
Alaska MEDICAID MH3237

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