Brown, Deron

Brown, Deron is an sole proprietor health care provider with primary practice located at 1322 W 9Th St , Antlers OK 74523-9308. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Brown, Deron can be contacted via phone (580) 579-3450.

Contact Information

Primary practice address
1322 W 9Th St Antlers OK 74523-9308
Phone: (580) 579-3450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1376925768
LBN Legal business name Brown, Deron
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2015
Last updated Jun 16th, 2018 - about 6 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 1376925768 NPPES
Oklahoma MEDICAID 200626640

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