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Contact Information

ELEZYA A BROOKINS
24 GUERETTE RD
WINTHROP, ME04364-1365
 Phone: 817-933-2099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ELEZYA A BROOKINS · (Female)

NPI # 1295401586
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2021
Last updated 03/18/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • License # LC7189
  • ME Medicaid LC7189
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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