Brooks, Deborah

Brooks, Deborah is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brooks, Deborah can be contacted via phone (843) 792-8495.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-0001
Fax: (843) 792-6880
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 24458 South Carolina

Profile Details

NPI number 1346358397
LBN Legal business name Brooks, Deborah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Oct 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346358397 NPPES
South Carolina MEDICAID NP0715

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