Brooks, Jason
Brooks, Jason is an sole proprietor health care provider with primary practice located at 634 S Bailey St Ste 104, Palmer AK 99645-6330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brooks, Jason can be contacted via phone (907) 746-2345.Contact Information
Primary practice address
634 S Bailey St Ste 104
Palmer AK 99645-6330
Phone: (907) 746-2345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4291 | Alaska |
Profile Details
| NPI number | 1164465712 |
|---|---|
| LBN Legal business name | Brooks, Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Mar 12th, 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 | 1164465712 | NPPES |
| Alaska | MEDICAID | 1019926 |
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