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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1114990777 NPPES
Minnesota MEDICAID 459500900

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