Individual
GREGORY ALLEN BROOKS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17932 BELLINGRATH LAKES AVE, GREENWELL SPRINGS, LA 70739-4758
(225) 276-5966
Mailing address
17932 BELLINGRATH LAKES AVE, GREENWELL SPRINGS, LA 70739-4758
(225) 276-5966
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A830628
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-0606604
NMTS
LA
Enumeration date
02/09/2022
Last updated
09/19/2022
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