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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1225294176 | NPPES |
| Ohio | MEDICAID | 0055062 |
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