Brown, Brian G

Brown, Brian G is an individual health care provider with primary practice located at 384D Carriage House Drive , Jackson TN 38305-2268. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Brown, Brian G can be contacted via phone (731) 256-2006.

Contact Information

Primary practice address
384D Carriage House Drive Jackson TN 38305-2268
Phone: (731) 256-2006
Fax: (731) 256-2007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN0000108574 Tennessee

Profile Details

NPI number 1023098167
LBN Legal business name Brown, Brian G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 25th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023098167 NPPES
Tennessee Other 3901457 MEDICARE SYMED
Tennessee MEDICAID 3901452 MEDICARE SYMED
Tennessee MEDICAID 3901456 MEDICARE SYMED

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