Whalen, Brooks Michael
Whalen, Brooks Michael is an individual health care provider with primary practice located at 130 Health Park Blvd , Saint Augustine FL 32086. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Whalen, Brooks Michael can be contacted via phone (904) 826-3469.Contact Information
Primary practice address
130 Health Park Blvd
Saint Augustine FL 32086
Phone: (904) 826-3469
Fax: (904) 808-4608
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9106470 | Florida |
Profile Details
NPI number | 1245506799 |
---|---|
LBN Legal business name | Whalen, Brooks Michael |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2012 |
Last updated | Mar 29th, 2012 - 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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