Elbert, Jeremy Brooks

Elbert, Jeremy Brooks is an individual health care provider with primary practice located at 452 W 10Th Ave , Columbus OH 43210-1240. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Elbert, Jeremy Brooks can be contacted via phone (614) 293-5502.

Contact Information

Primary practice address
452 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-5502
Fax: (614) 293-4726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.338277 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.14602 Ohio

Profile Details

NPI number 1790128353
LBN Legal business name Elbert, Jeremy Brooks
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2013
Last updated Jan 31st, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790128353 NPPES
Ohio MEDICAID 0135274

Popular Providers