Brown, Bernice
Brown, Bernice is an sole proprietor health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Brown, Bernice can be contacted via phone (260) 426-5431.Contact Information
Primary practice address
2121 Lake Ave
Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 421-1035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 28201235A | Indiana |
Profile Details
| NPI number | 1659000651 |
|---|---|
| LBN Legal business name | Brown, Bernice |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2022 |
| Last updated | Jun 7th, 2022 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659000651 | NPPES |
| Indiana | Other | 28201235A | VA NORTHERN INDIANA HEALTH CARE SYSTEM |
| Indiana | MEDICAID | 28201235A | VA NORTHERN INDIANA HEALTH CARE SYSTEM |
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