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Contact Information

CARISSA A BROOKS
221 GILLETTE STREET
WILDER, VT05088-0863
 Phone: 518-424-7648
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CARISSA A BROOKS · (Female)

NPI # 1336730498
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2021
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
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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