Brooke, Michael Steven
Brooke, Michael Steven is an individual health care provider with primary practice located at 302 N Harth Avenue , Madison SD 57042. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brooke, Michael Steven can be contacted via phone (605) 256-6911.Contact Information
Primary practice address
302 N Harth Avenue
Madison SD 57042
Phone: (605) 256-6911
Fax: (605) 256-9017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T507 | South Dakota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1533TX | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1626 | Oregon |
Profile Details
| NPI number | 1306854062 |
|---|---|
| LBN Legal business name | Brooke, Michael Steven |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Nov 30th, 2009 - about 16 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 | 1306854062 | NPPES |
| South Dakota | MEDICAID | 9202922 |
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