Donald, William Brooks
Donald, William Brooks is an individual health care provider with primary practice located at 2220 Riverside Ave Mc 31700A, Minneapolis MN 55454-1321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Donald, William Brooks can be contacted via phone (612) 371-1600.Contact Information
Primary practice address
2220 Riverside Ave Mc 31700A
Minneapolis MN 55454-1321
Phone: (612) 371-1600
Fax: (612) 371-1673
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24665 | Minnesota |
Profile Details
NPI number | 1114990777 |
---|---|
LBN Legal business name | Donald, William Brooks |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2006 |
Last updated | Oct 12th, 2009 - about 15 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 | 1114990777 | NPPES |
Minnesota | MEDICAID | 459500900 |
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