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
Phone: (816) 333-1919
Fax: (816) 361-1930
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841257839 | NPPES |
| Kansas | MEDICAID | 100195760A | |
| Kansas | MEDICAID | 201193208 |
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