Dubeck-Brooks, Annesofie K

Dubeck-Brooks, Annesofie K is an individual health care provider with primary practice located at 2205 Mccallie Ave , Chattanooga TN 37404-3230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dubeck-Brooks, Annesofie K can be contacted via phone (423) 698-2435.

Contact Information

Primary practice address
2205 Mccallie Ave Chattanooga TN 37404-3230
Phone: (423) 698-2435
Fax: (423) 697-6110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28602 Tennessee

Profile Details

NPI number 1790774610
LBN Legal business name Dubeck-Brooks, Annesofie K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jan 27th, 2022 - about 4 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 1790774610 NPPES
Tennessee MEDICAID 38082721
Tennessee Other P00414833

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