Brooks, Delicia Ann
Brooks, Delicia Ann is an sole proprietor health care provider with primary practice located at 8777 Purdue Rd Suite 300, Indianapolis IN 46268-3125. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Brooks, Delicia Ann can be contacted via phone (317) 755-4017.Contact Information
Primary practice address
8777 Purdue Rd Suite 300
Indianapolis IN 46268-3125
Phone: (317) 755-4017
Fax: (317) 755-4012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Women's Health Care, Ambulatory | 163WW0101X | 28127488A | Indiana |
| Nursing Service Providers / Women's Health Care, Ambulatory | 163WW0101X | 71001596A | Indiana |
Profile Details
| NPI number | 1578654679 |
|---|---|
| LBN Legal business name | Brooks, Delicia Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Apr 25th, 2011 - about 15 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 | 1578654679 | NPPES |
| Indiana | MEDICAID | 200802560 |
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