Brooke, Nancy J

Brooke, Nancy J is an individual health care provider with primary practice located at 1525 E Beltline Ave Ne Ste 102, Grand Rapids MI 49525-4598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Brooke, Nancy J can be contacted via phone (616) 447-7200.

Contact Information

Primary practice address
1525 E Beltline Ave Ne Ste 102 Grand Rapids MI 49525-4598
Phone: (616) 447-7200
Fax: (616) 447-9773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X NB049930 Michigan

Profile Details

NPI number 1326090275
LBN Legal business name Brooke, Nancy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1326090275 NPPES
Michigan MEDICAID 2642755

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