Brooks, Michael Paul

Brooks, Michael Paul is an sole proprietor health care provider with primary practice located at 19682 Hesperian Blvd Ste 101A , Hayward CA 94541-4752. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brooks, Michael Paul can be contacted via phone (510) 917-4949.

Contact Information

Primary practice address
19682 Hesperian Blvd Ste 101A Hayward CA 94541-4752
Phone: (510) 917-4949
Fax: (510) 655-3341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E1971 California

Profile Details

NPI number 1881803047
LBN Legal business name Brooks, Michael Paul
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Sep 18th, 2007 - about 19 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 1881803047 NPPES
California MEDICAID 000E19710

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