Brooks, Jeffrey Lane
Brooks, Jeffrey Lane is an sole proprietor health care provider with primary practice located at 935 Trancas St Ste 2C , Napa CA 94558-2944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Brooks, Jeffrey Lane can be contacted via phone (707) 252-4955.Contact Information
Primary practice address
935 Trancas St Ste 2C
Napa CA 94558-2944
Phone: (707) 252-4955
Fax: (866) 304-6677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G51713 | California |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G51713 | California |
Profile Details
| NPI number | 1073541876 |
|---|---|
| LBN Legal business name | Brooks, Jeffrey Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Feb 29th, 2024 - about 2 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 | 1073541876 | NPPES |
| California | MEDICAID | 00G517131 |
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