Brown, Gary R

Brown, Gary R is an individual health care provider with primary practice located at 9850 Genesee Ave Ste 320 , La Jolla CA 92037-1208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Brown, Gary R can be contacted via phone (858) 554-1212.

Contact Information

Primary practice address
9850 Genesee Ave Ste 320 La Jolla CA 92037-1208
Fax: (858) 795-1195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X DR.0039722 Colorado
Allopathic & Osteopathic Physicians / General Practice 208D00000X DR.0039722 Colorado
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19172 California

Profile Details

NPI number 1144264755
LBN Legal business name Brown, Gary R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 11th, 2024 - about last year

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 1144264755 NPPES
Colorado MEDICAID 36873861

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