Brooks, Alicia
Brooks, Alicia is an sole proprietor health care provider with primary practice located at 423 Medical Park Dr Ste 100 , Lenoir City TN 37772-5641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brooks, Alicia can be contacted via phone (865) 271-6600.Contact Information
Primary practice address
423 Medical Park Dr Ste 100
Lenoir City TN 37772-5641
Phone: (865) 271-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2018-01183 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 65440 | Tennessee |
Profile Details
| NPI number | 1760862908 |
|---|---|
| LBN Legal business name | Brooks, Alicia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2015 |
| Last updated | Jul 27th, 2022 - about 4 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 | 1760862908 | NPPES |
| Tennessee | MEDICAID | Q075207 |
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