Jason Brooks
Community Health Worker in Southfield, MI. Individual provider (NPI-1).
NPI number1053162875
StatusActive
Last updated in NPPESAug 14, 2025
Details
- NPI
- 1053162875
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Brooks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2024
- Certification date
- Aug 14, 2025
- Last updated
- Aug 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
17390 W 8 Mile RdSouthfield, MI 48075-4301
Phone 313-978-7196
Mailing address
17135 Lincoln DrSouthfield, MI 48076-7227
Phone 313-939-1098
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