Provider Demographics
NPI:1528232196
Name:BROOKE, RICK THOMAS (NBS,HIS)
Entity Type:Individual
Prefix:MR
First Name:RICK
Middle Name:THOMAS
Last Name:BROOKE
Suffix:
Gender:M
Credentials:NBS,HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 WILLIAM HILTON PKWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2424
Mailing Address - Country:US
Mailing Address - Phone:843-986-0003
Mailing Address - Fax:
Practice Address - Street 1:430 WILLIAM HILTON PKWY
Practice Address - Street 2:SUITE 208
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2424
Practice Address - Country:US
Practice Address - Phone:843-986-0003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC444237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist