Dix, Brooke M
Dix, Brooke M is an sole proprietor health care provider with primary practice located at 305 South Dr 6, Mountain View CA 94040-4200. She recently has 7 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Dix, Brooke M can be contacted via phone (650) 215-8722.Contact Information
Primary practice address
305 South Dr 6
Mountain View CA 94040-4200
Phone: (650) 215-8722
Fax: (650) 964-0720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E5088 | California |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E5088 | California |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | E5088 | California |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | E5088 | California |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | E5088 | California |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | E5088 | California |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E5088 | California |
Profile Details
| NPI number | 1790030393 |
|---|---|
| LBN Legal business name | Dix, Brooke M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2012 |
| Last updated | Jul 15th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790030393 | NPPES |
| California | Other | E-5088 | LICENSE |
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