Brooks, Denise Polen

Brooks, Denise Polen is an individual health care provider with primary practice located at 420 W Jefferson Ave , Clarksville IN 47129-1820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brooks, Denise Polen can be contacted via phone (812) 282-3410.

Contact Information

Primary practice address
420 W Jefferson Ave Clarksville IN 47129-1820
Phone: (812) 282-3410
Fax: (812) 282-6178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001986A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4543P Kentucky

Profile Details

NPI number 1689643991
LBN Legal business name Brooks, Denise Polen
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1689643991 NPPES
Kentucky Other 4543P ARNP
Kentucky Other 71001986A ARNP

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