Vezino, Brooke
Vezino, Brooke is an individual health care provider with primary practice located at 6800 Palm Ave Ste C , Sebastopol CA 95472-4269. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vezino, Brooke can be contacted via phone (707) 824-9999.Contact Information
Primary practice address
6800 Palm Ave Ste C
Sebastopol CA 95472-4269
Phone: (707) 824-9999
Fax: (707) 869-5983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A100856 | California |
Profile Details
| NPI number | 1477752988 |
|---|---|
| LBN Legal business name | Vezino, Brooke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jun 25th, 2015 - about 9 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 | 1477752988 | NPPES |
| California | MEDICAID | 1538334065 |
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