Healthcare Provider Details

I. General information

NPI: 1629591995
Provider Name (Legal Business Name): ERIC BROOKS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 THORNDIKE ST
BEVERLY MA
01915-5817
US

IV. Provider business mailing address

444 CHEBACCO RD
SOUTH HAMILTON MA
01982-2716
US

V. Phone/Fax

Practice location:
  • Phone: 978-922-3030
  • Fax:
Mailing address:
  • Phone: 978-609-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: