Brown, Jay

Brown, Jay is an individual health care provider with primary practice located at 203 N State St , North Vernon IN 47265-2454. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Brown, Jay can be contacted via phone (812) 200-2714.

Contact Information

Primary practice address
203 N State St North Vernon IN 47265-2454
Phone: (812) 200-2714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CII2134 Indiana

Profile Details

NPI number 1003387127
LBN Legal business name Brown, Jay
Credentials CADAC II
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2018
Last updated Dec 16th, 2018 - about 6 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 1003387127 NPPES
Indiana MEDICAID CII2134

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