Brooks, David Wayne
Brooks, David Wayne is an individual health care provider with primary practice located at 905 N Main St , Austin MN 55912-3357. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brooks, David Wayne can be contacted via phone (507) 606-5912.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 116104 | Minnesota |
Profile Details
| NPI number | 1144362120 |
|---|---|
| LBN Legal business name | Brooks, David Wayne |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Feb 3rd, 2020 - about 6 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 | 1144362120 | NPPES |
| Minnesota | Other | 116104-5 | STATE LICENSE NUMBER |
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