Brook, Charles J

Brook, Charles J is an individual health care provider with primary practice located at 6420 Prospect Ave T303, Kansas City MO 64132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Brook, Charles J can be contacted via phone (816) 333-1919.

Contact Information

Primary practice address
6420 Prospect Ave T303 Kansas City MO 64132
Fax: (816) 361-1930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X R7565 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0418351 Kansas

Profile Details

NPI number 1841257839
LBN Legal business name Brook, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 10th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841257839 NPPES
Kansas MEDICAID 100195760A
Kansas MEDICAID 201193208

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