Maden, Brooke K

Maden, Brooke K is an individual health care provider with primary practice located at 96 Campus Dr Suite 1, Scarborough ME 04074-7163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Maden, Brooke K can be contacted via phone (207) 885-9905.

Contact Information

Primary practice address
96 Campus Dr Suite 1 Scarborough ME 04074-7163
Phone: (207) 885-9905
Fax: (207) 396-5600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.004394 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1586 Maine

Profile Details

NPI number 1346599958
LBN Legal business name Maden, Brooke K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Apr 25th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346599958 NPPES
Maine MEDICAID 1346599958

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