Robertson, Brooke E.
Robertson, Brooke E. is an sole proprietor health care provider with primary practice located at 2283 Wrightsboro Rd , Augusta GA 30904-4717. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Robertson, Brooke E. can be contacted via phone (706) 922-3252.Contact Information
Primary practice address
2283 Wrightsboro Rd
Augusta GA 30904-4717
Phone: (706) 922-3252
Fax: (706) 922-3253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC001959 | Georgia |
Profile Details
| NPI number | 1720251580 |
|---|---|
| LBN Legal business name | Robertson, Brooke E. |
| Credentials | LAPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2008 |
| Last updated | Mar 24th, 2010 - about 14 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 | 1720251580 | NPPES |
| Georgia | MEDICAID | 000606317B |
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