Brown, Elise Star
Brown, Elise Star is an sole proprietor health care provider with primary practice located at 5525 Grossmont Center Dr Ste 602 , La Mesa CA 91942-3009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brown, Elise Star can be contacted via phone (619) 740-4971.Contact Information
Primary practice address
5525 Grossmont Center Dr Ste 602
La Mesa CA 91942-3009
Phone: (619) 740-4971
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G85861 | California |
Profile Details
| NPI number | 1801893201 |
|---|---|
| LBN Legal business name | Brown, Elise Star |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Mar 8th, 2024 - about 6 months 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 | 1801893201 | NPPES |
| California | MEDICAID | 006G858610 | |
| California | MEDICAID | 800664442 |
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