Brooks, Troy David

Brooks, Troy David is an individual health care provider with primary practice located at 351 N Main St , Stanton KY 40380-2177. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brooks, Troy David can be contacted via phone (606) 663-2511.

Contact Information

Primary practice address
351 N Main St Stanton KY 40380-2177
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA287 Kentucky

Profile Details

NPI number 1447364898
LBN Legal business name Brooks, Troy David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 31st, 2021 - about 5 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 1447364898 NPPES
Kentucky Other 607850200 FEDERAL BLACK LUNG
Kentucky MEDICAID 35001791 FEDERAL BLACK LUNG
Kentucky Other 000000356917 FEDERAL BLACK LUNG

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