Brooks, Sherry
Brooks, Sherry is an individual health care provider with primary practice located at 5411 S Grand Blvd , Saint Louis MO 63111-1805. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Brooks, Sherry can be contacted via phone (131) 449-3405.Contact Information
Primary practice address
5411 S Grand Blvd
Saint Louis MO 63111-1805
Phone: (131) 449-3405
Fax: (314) 480-7155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | F200359001 | Missouri |
Profile Details
| NPI number | 1619628708 |
|---|---|
| LBN Legal business name | Brooks, Sherry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2022 |
| Last updated | Jan 11th, 2022 - about 3 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 | 1619628708 | NPPES |
| Missouri | MEDICAID | 844157164 |
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