Brooks, Kristy Marie

Brooks, Kristy Marie is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Brooks, Kristy Marie can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Phone: (307) 358-2846
Fax: (307) 358-5329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003208943
LBN Legal business name Brooks, Kristy Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2015
Last updated Mar 2nd, 2015 - about 11 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 1003208943 NPPES
Wyoming MEDICAID 106402908
Wyoming MEDICAID 106402907

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