Brooks, Michele L

Brooks, Michele L is an individual health care provider with primary practice located at 4004 82Nd St , Lubbock TX 79423-1900. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Brooks, Michele L can be contacted via phone (806) 722-3110.

Contact Information

Primary practice address
4004 82Nd St Lubbock TX 79423-1900
Phone: (806) 722-3110
Fax: (806) 722-3115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT07317 Texas

Profile Details

NPI number 1851329346
LBN Legal business name Brooks, Michele L
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 25th, 2016 - about 10 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 1851329346 NPPES
Texas MEDICAID 172561601

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