Brooks, Amber Keller
Brooks, Amber Keller is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-1900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Brooks, Amber Keller can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-1900
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 27648 | Alabama |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 2013-01005 | North Carolina |
Profile Details
| NPI number | 1962624742 |
|---|---|
| LBN Legal business name | Brooks, Amber Keller |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 21st, 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 | 1962624742 | NPPES |
| Mississippi | MEDICAID | 08929349 | |
| Mississippi | MEDICAID | 119649 | |
| Mississippi | Other | 051106823 | |
| Mississippi | Other | 051106824 | |
| Mississippi | MEDICAID | 119650 | |
| Mississippi | Other | 051106821 | |
| Mississippi | Other | 051106822 | |
| Mississippi | MEDICAID | 119648 | |
| Mississippi | Other | P00894311 | |
| Mississippi | MEDICAID | 119647 |
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