Brown, David J
Brown, David J is an individual health care provider with primary practice located at 2960 E. St. Luke'S St. Suite 200, Meridian ID 83642-9005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Brown, David J can be contacted via phone (208) 378-4264.Contact Information
Primary practice address
2960 E. St. Luke'S St. Suite 200
Meridian ID 83642-9005
Phone: (208) 378-4264
Fax: (208) 957-6891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207VB0002X | M-9567 | Idaho |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 2083B0002X | M-9567 | Idaho |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M9567 | Idaho |
Profile Details
| NPI number | 1184652364 |
|---|---|
| LBN Legal business name | Brown, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Nov 5th, 2021 - about 3 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 | 1184652364 | NPPES |
| Idaho | Other | M9567 | STATE LICENSE # |
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