Moore, Brooke Marie
Moore, Brooke Marie is an sole proprietor health care provider with primary practice located at 2530 Chicago Ave Suite 400, Minneapolis MN 55404-4289. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Moore, Brooke Marie can be contacted via phone (612) 813-3300.Contact Information
Primary practice address
2530 Chicago Ave Suite 400
Minneapolis MN 55404-4289
Phone: (612) 813-3300
Fax: (612) 813-3349
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18799 | Minnesota |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 49815 | Minnesota |
Profile Details
NPI number | 1568662195 |
---|---|
LBN Legal business name | Moore, Brooke Marie |
Credentials | MD, MPH |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 22nd, 2007 |
Last updated | Oct 19th, 2011 - about 13 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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