Provider Demographics
NPI:1326649427
Name:IAMES, BROOKE (CPO, LPO)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:IAMES
Suffix:
Gender:F
Credentials:CPO, LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2182 W 38TH ST UPPR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3833
Mailing Address - Country:US
Mailing Address - Phone:301-697-4820
Mailing Address - Fax:
Practice Address - Street 1:2182 W 38TH ST UPPR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3833
Practice Address - Country:US
Practice Address - Phone:301-697-4820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPO.00376224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist