Brooks, Grant

Brooks, Grant is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Brooks, Grant can be contacted via phone (608) 417-6000.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Phone: (608) 417-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 225400000 Wisconsin

Profile Details

NPI number 1558767640
LBN Legal business name Brooks, Grant
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2014
Last updated Nov 26th, 2014 - about 12 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 1558767640 NPPES
Wisconsin Other 7226940411 NSCA-CPT

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