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
Fax: (408) 371-6387
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639220825 NPPES
California Other 1012194 NCCPA

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