Provider Demographics
NPI:1922746312
Name:RCBROOKS CONSULTING LLC
Entity Type:Organization
Organization Name:RCBROOKS CONSULTING LLC
Other - Org Name:BLUEPRINT DIABETES MANAGEMENT AND CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUSHICKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-966-0876
Mailing Address - Street 1:#1016 14 HAZARD AVE
Mailing Address - Street 2:SUITE 23
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082
Mailing Address - Country:US
Mailing Address - Phone:860-951-4140
Mailing Address - Fax:860-300-8465
Practice Address - Street 1:11 TAVERNER RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-1749
Practice Address - Country:US
Practice Address - Phone:860-951-4140
Practice Address - Fax:860-300-8465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty