Brooks, Vanessa
Brooks, Vanessa is an individual health care provider with primary practice located at 1901 Mooney Street , Winston-Salem NC 27103. She recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is her primary health care specialty. Brooks, Vanessa can be contacted via phone (336) 713-6038.Contact Information
Primary practice address
1901 Mooney Street
Winston-Salem NC 27103
Phone: (336) 713-6038
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | P17407 |
Profile Details
| NPI number | 1457728644 |
|---|---|
| LBN Legal business name | Brooks, Vanessa |
| Credentials | DPT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2015 |
| Last updated | Jul 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457728644 | NPPES |
| Georgia | Other | 22 | RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS |
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