Brown, Jane Wilson

Brown, Jane Wilson is an sole proprietor health care provider with primary practice located at 281 Independence Blvd Ste 326, Virginia Beach VA 23462-2986. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brown, Jane Wilson can be contacted via phone (757) 490-0377.

Contact Information

Primary practice address
281 Independence Blvd Ste 326 Virginia Beach VA 23462-2986
Phone: (757) 490-0377
Fax: (757) 497-1327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001804 Virginia

Profile Details

NPI number 1780672774
LBN Legal business name Brown, Jane Wilson
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1780672774 NPPES
Virginia MEDICAID 010239354

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