Brockington, John Carlos
Brockington, John Carlos is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904-7668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Brockington, John Carlos can be contacted via phone (920) 303-8700.Contact Information
Primary practice address
855 N Westhaven Dr
Oshkosh WI 54904-7668
Phone: (920) 303-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 17400 | Alabama |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 3110 | Wisconsin |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | MD482308 | Pennsylvania |
Profile Details
| NPI number | 1548200777 |
|---|---|
| LBN Legal business name | Brockington, John Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 18th, 2024 - about 2 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 | 1548200777 | NPPES |
| Mississippi | MEDICAID | 04970355 | |
| Mississippi | MEDICAID | 100286787 | |
| Mississippi | Other | 051509854 | |
| Mississippi | Other | 130025436 | |
| Mississippi | MEDICAID | 009901225 | |
| Mississippi | MEDICAID | 009938017 | |
| Mississippi | Other | 051509855 | |
| Mississippi | MEDICAID | 051509855 |
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