Phillips, Brooke Nicholson

Phillips, Brooke Nicholson is an individual health care provider with primary practice located at 2100 W 3Rd St House Ear Institute Care Center, Los Angeles CA 90057-1922. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Phillips, Brooke Nicholson can be contacted via phone (213) 353-7005.

Contact Information

Primary practice address
2100 W 3Rd St House Ear Institute Care Center Los Angeles CA 90057-1922
Phone: (213) 353-7005
Fax: (213) 483-3716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU 2073 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X HA 4156 California

Profile Details

NPI number 1073640223
LBN Legal business name Phillips, Brooke Nicholson
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 2007 - about 17 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 1073640223 NPPES
California MEDICAID AU0020730

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