Brown, Jacob Theodore

Brown, Jacob Theodore is an sole proprietor health care provider with primary practice located at 7950 Crossroads Dr 607, North Charleston SC 29406-9411. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brown, Jacob Theodore can be contacted via phone (843) 576-4254.

Contact Information

Primary practice address
7950 Crossroads Dr 607 North Charleston SC 29406-9411
Fax: (800) 479-2209
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1006 South Carolina

Profile Details

NPI number 1245425230
LBN Legal business name Brown, Jacob Theodore
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 18 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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