Brown, Gary W.

Brown, Gary W. is an sole proprietor health care provider with primary practice located at 1582 N Broad St Suite 2, Tazewell TN 37879-4352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Brown, Gary W. can be contacted via phone (423) 626-0277.

Contact Information

Primary practice address
1582 N Broad St Suite 2 Tazewell TN 37879-4352
Fax: (423) 626-0082
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 14103 Tennessee

Profile Details

NPI number 1396988762
LBN Legal business name Brown, Gary W.
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2009
Last updated Jun 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396988762 NPPES
Tennessee Other 14103 MEDICAL LICENSURE

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