Brown, Angelique D

Brown, Angelique D is an sole proprietor health care provider with primary practice located at 6111 Harrison St Suite 331, Merrillville IN 46410-2969. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Angelique D can be contacted via phone (219) 887-1340.

Contact Information

Primary practice address
6111 Harrison St Suite 331 Merrillville IN 46410-2969
Phone: (219) 887-1340
Fax: (219) 887-1518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01045570A Indiana

Profile Details

NPI number 1770553166
LBN Legal business name Brown, Angelique D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770553166 NPPES
Indiana Other 207Q0000X TAXONOMY CODE
Indiana Other 15D0938335 TAXONOMY CODE
Indiana Other 01045570A TAXONOMY CODE
Indiana MEDICAID 200098750B TAXONOMY CODE
Indiana Other 01045570B TAXONOMY CODE

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