Brown, Gina M
Brown, Gina M is an individual health care provider with primary practice located at 3340 Providence Dr Ste A358 , Anchorage AK 99508-4691. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Brown, Gina M can be contacted via phone (907) 268-2067.Contact Information
Primary practice address
3340 Providence Dr Ste A358
Anchorage AK 99508-4691
Phone: (907) 268-2067
Fax: (855) 395-0858
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 7714 | Alaska |
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | MD157001 | Oregon |
Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 157001 | Oregon |
Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 7714 | Alaska |
Profile Details
NPI number | 1295881977 |
---|---|
LBN Legal business name | Brown, Gina M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2007 |
Last updated | Apr 26th, 2019 - about 5 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 | 1295881977 | NPPES |
Alaska | MEDICAID | 1583538 |
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