Brooks, Michelle M

Brooks, Michelle M is an individual health care provider with primary practice located at 4320 Seminary Rd Alexandria Hospital, Alexandria VA 22304-1535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brooks, Michelle M can be contacted via phone (703) 504-3066.

Contact Information

Primary practice address
4320 Seminary Rd Alexandria Hospital Alexandria VA 22304-1535
Fax: (703) 504-3866
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101232658 Virginia

Profile Details

NPI number 1982693222
LBN Legal business name Brooks, Michelle M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982693222 NPPES
Virginia MEDICAID 005873991

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