Brooks, Shirley

Brooks, Shirley is an individual health care provider with primary practice located at 360 Huntington Ave 208 Rb, Boston MA 02115-5005. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Brooks, Shirley can be contacted via phone (857) 249-4780.

Contact Information

Primary practice address
360 Huntington Ave 208 Rb Boston MA 02115-5005
Phone: (857) 249-4780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT07342 Texas
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 3308 Massachusetts

Profile Details

NPI number 1053672188
LBN Legal business name Brooks, Shirley
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2012
Last updated May 8th, 2014 - about 12 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 1053672188 NPPES
Texas Other DT07342 RD LICENSE
Texas Other 3308 RD LICENSE

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