Provider Demographics
NPI:1699572495
Name:DOWELL, BROOKE
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:
Last Name:DOWELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 HEART CT
Mailing Address - Street 2:
Mailing Address - City:CENTERBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43011-5700
Mailing Address - Country:US
Mailing Address - Phone:740-462-2930
Mailing Address - Fax:
Practice Address - Street 1:58 HEART CT
Practice Address - Street 2:
Practice Address - City:CENTERBURG
Practice Address - State:OH
Practice Address - Zip Code:43011-5700
Practice Address - Country:US
Practice Address - Phone:740-462-2930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker