Brooks, Hazel Lynnette
Brooks, Hazel Lynnette is an individual health care provider with primary practice located at 301 Professional Park Dr , Glasgow KY 42141-3487. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brooks, Hazel Lynnette can be contacted via phone (270) 651-9696.Contact Information
Primary practice address
301 Professional Park Dr
Glasgow KY 42141-3487
Phone: (270) 651-9696
Fax: (270) 651-0385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35803 | Kentucky |
Profile Details
| NPI number | 1255314498 |
|---|---|
| LBN Legal business name | Brooks, Hazel Lynnette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | May 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255314498 | NPPES |
| Kentucky | MEDICAID | 64043474 |
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