Brown, Jade
Brown, Jade is an sole proprietor health care provider with primary practice located at 4700 Wichers Dr Ste 205 , Marrero LA 70072-3054. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brown, Jade can be contacted via phone (504) 407-0709.Contact Information
Primary practice address
4700 Wichers Dr Ste 205
Marrero LA 70072-3054
Phone: (504) 407-0709
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1497128854 |
|---|---|
| LBN Legal business name | Brown, Jade |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2015 |
| Last updated | Nov 7th, 2015 - about 10 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 | 1497128854 | NPPES |
| Louisiana | MEDICAID | 464581059 |
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