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Contact Information

SAGE E BROOK, CNM
325 HAWTHORNE LN
CHARLOTTE, NC28204-2535
 Phone: 704-973-2106
 Fax: 704-973-2395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SAGE E BROOK · (Female)

NPI # 1952398729
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 10/05/2005
Last updated 10/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 104
  • NC License # 123103
  • NC License # 126103
  • NC Medicaid 1952398729
  • NC Medicaid 7002111
  • SC Medicaid MW0167
  • NC Other 104 NC CNM
  • NC Other 126103 RN LICENSE
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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