Brown, Jaclyn Rene

Brown, Jaclyn Rene is an individual health care provider with primary practice located at 652 E. Warner Rd. Suite 107, Gilbert AZ 85296-3073. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Brown, Jaclyn Rene can be contacted via phone (480) 539-8680.

Contact Information

Primary practice address
652 E. Warner Rd. Suite 107 Gilbert AZ 85296-3073
Phone: (480) 539-8680
Fax: (480) 539-1763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46360 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 46360 Arizona

Profile Details

NPI number 1396972444
LBN Legal business name Brown, Jaclyn Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Jul 1st, 2014 - about 11 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 1396972444 NPPES
Arizona Other Z67803 PTAN

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