Individual
DOUG J BRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
(603) 640-1228
Mailing address
913 N MAIN ST APT 502, ROCKFORD, IL 61103-7058
(815) 299-1090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041417502
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
113211-23
NH
367500000X
Certified Registered Nurse Anesthetist
209-021401
IL
Other
Enumeration date
05/30/2020
Last updated
02/13/2026
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