Brooks, Theodore T

Brooks, Theodore T is an individual health care provider with primary practice located at 14 Tsienneto Rd Ste 200A , Derry NH 03038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brooks, Theodore T can be contacted via phone (603) 537-1300.

Contact Information

Primary practice address
14 Tsienneto Rd Ste 200A Derry NH 03038
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6609 New Hampshire

Profile Details

NPI number 1023088812
LBN Legal business name Brooks, Theodore T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 8th, 2018 - about 7 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 1023088812 NPPES
New Hampshire Other 0706612 AETNA USHC
New Hampshire Other 404433 AETNA USHC
New Hampshire MEDICAID 00000797 AETNA USHC
New Hampshire Other E13701 AETNA USHC
New Hampshire Other 0109379 AETNA USHC

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