Brown, Bobby L
Brown, Bobby L is an individual health care provider with primary practice located at 915 West Main Street , Abingdon VA 24210. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Brown, Bobby L can be contacted via phone (276) 628-9507.Contact Information
Primary practice address
915 West Main Street
Abingdon VA 24210
Phone: (276) 628-9507
Fax: (276) 628-9439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401004605 | Virginia |
Profile Details
| NPI number | 1447309836 |
|---|---|
| LBN Legal business name | Brown, Bobby L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1447309836 | NPPES |
| Virginia | MEDICAID | 9181261 | |
| Virginia | Other | 635119 | |
| Virginia | Other | 034913 |
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