Brown, Gary Lee
Brown, Gary Lee is an sole proprietor health care provider with primary practice located at 2585 Samaritan Drive , San Jose CA 95124-4107. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brown, Gary Lee can be contacted via phone (408) 371-6771.Contact Information
Primary practice address
2585 Samaritan Drive
San Jose CA 95124-4107
Phone: (408) 371-6771
Fax: (408) 371-6387
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA11381 | California |
Profile Details
NPI number | 1639220825 |
---|---|
LBN Legal business name | Brown, Gary Lee |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 15th, 2007 |
Last updated | Sep 13th, 2016 - about 9 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 | 1639220825 | NPPES |
California | Other | 1012194 | NCCPA |
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