Brown, Darci Lavonne

Brown, Darci Lavonne is an individual health care provider with primary practice located at 1045 Channingway Dr Ste A , Fairborn OH 45324-9252. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Brown, Darci Lavonne can be contacted via phone (937) 878-8644.

Contact Information

Primary practice address
1045 Channingway Dr Ste A Fairborn OH 45324-9252
Phone: (937) 878-8644
Fax: (937) 878-8646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101019618 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34010291 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 58.002536 Ohio

Profile Details

NPI number 1225294176
LBN Legal business name Brown, Darci Lavonne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Nov 23rd, 2020 - about 5 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 1225294176 NPPES
Ohio MEDICAID 0055062

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