Brown, Coleen L
Brown, Coleen L is an individual health care provider with primary practice located at 11420 Parkview Circle Dr , Fort Wayne IN 46845-1729. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brown, Coleen L can be contacted via phone (260) 484-8551.Contact Information
Primary practice address
11420 Parkview Circle Dr
Fort Wayne IN 46845-1729
Phone: (260) 484-8551
Fax: (260) 484-9603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704101472 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 28187556A | Indiana |
Profile Details
| NPI number | 1619906161 |
|---|---|
| LBN Legal business name | Brown, Coleen L |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Nov 7th, 2012 - about 12 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 | 1619906161 | NPPES |
| Indiana | MEDICAID | 200961560 |
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