Brookshire, Dezaray Nicole

Brookshire, Dezaray Nicole is an sole proprietor health care provider with primary practice located at 668 700Th St , Elkhart IL 62634-6055. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Brookshire, Dezaray Nicole can be contacted via phone (217) 273-5345.

Contact Information

Primary practice address
668 700Th St Elkhart IL 62634-6055
Phone: (217) 273-5345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1487306551
LBN Legal business name Brookshire, Dezaray Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2022
Last updated Jan 20th, 2022 - about 3 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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