Brown, Jack R
Brown, Jack R is an sole proprietor health care provider with primary practice located at 2435 Midland Rd , Saginaw MI 48603-3445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brown, Jack R can be contacted via phone (989) 791-9380.Contact Information
Primary practice address
2435 Midland Rd
Saginaw MI 48603-3445
Phone: (989) 791-9380
Fax: (989) 791-9382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | JB006565 | Michigan |
Profile Details
| NPI number | 1649249186 |
|---|---|
| LBN Legal business name | Brown, Jack R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Nov 20th, 2009 - about 16 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 | 1649249186 | NPPES |
| Michigan | MEDICAID | 107733211 |
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