Brooks, David James

Brooks, David James is an individual health care provider with primary practice located at 1665 S Green St , Tupelo MS 38804-6556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brooks, David James can be contacted via phone (662) 377-2189.

Contact Information

Primary practice address
1665 S Green St Tupelo MS 38804-6556
Phone: (662) 377-2189
Fax: (662) 377-2263
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14205 Mississippi

Profile Details

NPI number 1962440214
LBN Legal business name Brooks, David James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Oct 19th, 2007 - about 18 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 1962440214 NPPES
Mississippi MEDICAID 00115614

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