Rudolph, Brooke Ashlie
Rudolph, Brooke Ashlie is an individual health care provider with primary practice located at 70 Murphy Rd # 300A , Port Monmouth NJ 07758-1030. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rudolph, Brooke Ashlie can be contacted via phone (732) 787-1220.Contact Information
Primary practice address
70 Murphy Rd # 300A
Port Monmouth NJ 07758-1030
Phone: (732) 787-1220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 107973 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SL06680500 | New Jersey |
Profile Details
| NPI number | 1548741903 |
|---|---|
| LBN Legal business name | Rudolph, Brooke Ashlie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2018 |
| Last updated | Apr 1st, 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 | 1548741903 | NPPES |
| New York | MEDICAID | 00244371 |
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