Dr Christopher Paul Brooks, DDS is a
Dentist - General Practice based in Fox Lake, Wisconsin. Dr Christopher Paul Brooks is licensed to practice in Wisconsin (license number 2578) and his current practice location is
608 W State St, Fox Lake, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 928-2228.
NPI number for Dr Christopher Paul Brooks is 1396952016 and his current mailing address is Po Box 26, 608 W State St, Fox Lake, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396952016.
Healthcare Provider's Profile
| Full Name | Dr Christopher Paul Brooks |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 608 W State St, Fox Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396952016
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Christopher Paul Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396952016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2578 (Wisconsin) | Primary |
| 1223G0001X | Dentist - General Practice | 2578 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christopher Paul Brooks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Christopher Paul Brooks, DDS
Po Box 26, 608 W State St,
Fox Lake, WI 53933
Ph: (920) 928-2228 | Dr Christopher Paul Brooks, DDS
608 W State St,
Fox Lake, WI 53933
Ph: (920) 928-2228 |
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