Brooksby, Nolan R.

Brooksby, Nolan R. is an individual health care provider with primary practice located at 151 W 200 N , Vernal UT 84078-1907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Brooksby, Nolan R. can be contacted via phone (435) 789-3342.

Contact Information

Primary practice address
151 W 200 N Vernal UT 84078-1907
Phone: (435) 789-3342
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 55611703-1204 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5611703-1204 Utah

Profile Details

NPI number 1912949603
LBN Legal business name Brooksby, Nolan R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 15th, 2010 - about 16 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 1912949603 NPPES
Utah Other P00187532 RAILROAD MEDICARE
Utah MEDICAID D5681 RAILROAD MEDICARE
Utah Other 56117031200001 RAILROAD MEDICARE

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