Brooker, Deborah J.
Brooker, Deborah J. is an sole proprietor health care provider with primary practice located at 300 Main St. Suite 5, Vestal NY 13850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brooker, Deborah J. can be contacted via phone (607) 323-4110.Contact Information
Primary practice address
300 Main St. Suite 5
Vestal NY 13850
Phone: (607) 323-4110
Fax: (607) 323-4109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0153551 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 015355 | New York |
Profile Details
| NPI number | 1194890889 |
|---|---|
| LBN Legal business name | Brooker, Deborah J. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 9th, 2012 - about 14 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 | 1194890889 | NPPES |
| New York | MEDICAID | 02348034 |
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