Brooks, Devon D

Brooks, Devon D is an sole proprietor health care provider with primary practice located at 24 Hospital Ln , Calais ME 04619-1329. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brooks, Devon D can be contacted via phone (207) 454-7521.

Contact Information

Primary practice address
24 Hospital Ln Calais ME 04619-1329
Phone: (207) 454-7521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 06719323 New Hampshire

Profile Details

NPI number 1023353794
LBN Legal business name Brooks, Devon D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2012
Last updated Oct 5th, 2016 - about 10 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 1023353794 NPPES
New Hampshire MEDICAID 3081124

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