Judd, Brooke G
Judd, Brooke G is an individual health care provider with primary practice located at 1 Medical Center Drive , Lebanon NH 03756-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Judd, Brooke G can be contacted via phone (603) 650-7232.Contact Information
Primary practice address
1 Medical Center Drive
Lebanon NH 03756-0001
Phone: (603) 650-7232
Fax: (603) 650-9478
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 042.0010302 | Vermont |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 042.0010302 | Vermont |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 042.0010302 | Vermont |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 10394 | New Hampshire |
Profile Details
NPI number | 1255409744 |
---|---|
LBN Legal business name | Judd, Brooke G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2006 |
Last updated | Nov 4th, 2019 - about 5 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 | 1255409744 | NPPES |
New Hampshire | MEDICAID | 30200501 | |
New Hampshire | Other | 0RE5492 |
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