Brown, Jeffrey

Brown, Jeffrey is an individual health care provider with primary practice located at 1405 Lilac Dr N Ste 130, Golden Valley MN 55422-4536. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brown, Jeffrey can be contacted via phone (763) 566-0922.

Contact Information

Primary practice address
1405 Lilac Dr N Ste 130 Golden Valley MN 55422-4536
Phone: (763) 566-0922
Fax: (763) 503-9491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 2069 Minnesota

Profile Details

NPI number 1730163478
LBN Legal business name Brown, Jeffrey
Credentials MA LP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 12th, 2010 - about 14 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 1730163478 NPPES
Minnesota MEDICAID 663282300

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