Burguillos, Brooke Cuff
Burguillos, Brooke Cuff is an sole proprietor health care provider with primary practice located at 1046 Monticello Dr , Villa Rica GA 30180-7801. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burguillos, Brooke Cuff can be contacted via phone (770) 212-0750.Contact Information
Primary practice address
1046 Monticello Dr
Villa Rica GA 30180-7801
Phone: (770) 212-0750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP011876 | Georgia |
Profile Details
| NPI number | 1376266569 |
|---|---|
| LBN Legal business name | Burguillos, Brooke Cuff |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2022 |
| Last updated | Jan 27th, 2025 - about last year |
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 | 1376266569 | NPPES |
| Other | 15695481 | CAQH |
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