Brooks, Lathea
Brooks, Lathea is an sole proprietor health care provider with primary practice located at 6010 W Calumet Rd Apt 104 , Milwaukee WI 53223-4127. She recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as her primary health care specialty. Brooks, Lathea can be contacted via phone (414) 202-7465.Contact Information
Primary practice address
6010 W Calumet Rd Apt 104
Milwaukee WI 53223-4127
Phone: (414) 202-7465
Fax: (414) 446-9916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | B6205249184602 | Wisconsin |
Profile Details
| NPI number | 1023525128 |
|---|---|
| LBN Legal business name | Brooks, Lathea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2018 |
| Last updated | Jun 16th, 2018 - about 8 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 | 1023525128 | NPPES |
| Wisconsin | Other | 464796343 | DEPT. OF REVENUE |
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