Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM BROOKS
Active Sole ProprietorCommunity Health Worker · LAFAYETTE, IN
Registration Details
- NPI Number
- 1457059354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2023 (3.1673039521164 yrs)
- Last Updated
- Feb 20, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 EXECUTIVE DR STE CLAFAYETTE, IN, 479054869Browse IN providers · Browse ZIP 47905
- Phone
- 2194728900
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| STEFFANIE HANNAH | — | 1104695105 |
| JASMIN MCCOY | — | 1811766819 |
| ZOE JOHNSON | — | 1689422776 |
| TEQUILA CHANDLER | — | 1528926516 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.