Brooks, Drew J

Brooks, Drew J is an sole proprietor health care provider with primary practice located at 2205 N Calhoun Rd , Brookfield WI 53005-5062. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brooks, Drew J can be contacted via phone (262) 786-4144.

Contact Information

Primary practice address
2205 N Calhoun Rd Brookfield WI 53005-5062
Fax: (262) 786-4729
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1718 Wisconsin

Profile Details

NPI number 1619951316
LBN Legal business name Brooks, Drew J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Sep 4th, 2008 - about 18 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 1619951316 NPPES
Wisconsin MEDICAID 38514200

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