Verschage, Brooke S

Verschage, Brooke S is an individual health care provider with primary practice located at 655 W 8Th St Ufjax - Otolaryngology, Jacksonville FL 32209-6511. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Verschage, Brooke S can be contacted via phone (904) 244-4267.

Contact Information

Primary practice address
655 W 8Th St Ufjax - Otolaryngology Jacksonville FL 32209-6511
Phone: (904) 244-4267
Fax: (904) 244-7730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1414 Florida

Profile Details

NPI number 1780889329
LBN Legal business name Verschage, Brooke S
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated May 21st, 2008 - about 16 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 1780889329 NPPES
Georgia MEDICAID 468759749A
Georgia MEDICAID 6005349-00

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