Brown, Gary Eugene

Brown, Gary Eugene is an sole proprietor health care provider with primary practice located at 302 Broadway St , Martin TN 38237-2455. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Brown, Gary Eugene can be contacted via phone (731) 587-0600.

Contact Information

Primary practice address
302 Broadway St Martin TN 38237-2455
Phone: (731) 587-0600
Fax: (731) 587-0600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X P0000000475 Tennessee

Profile Details

NPI number 1225151129
LBN Legal business name Brown, Gary Eugene
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2007
Last updated Feb 23rd, 2019 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225151129 NPPES
Tennessee MEDICAID Q032646

Popular Providers