Brown, Jeffrey

Brown, Jeffrey is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Brown, Jeffrey can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Fax: (765) 838-4698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01030352A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01030352A Indiana

Profile Details

NPI number 1891764858
LBN Legal business name Brown, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 1st, 2021 - about 4 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 1891764858 NPPES
Indiana Other 9401915 PHCS PID NUMBER
Indiana Other 000000197889 PHCS PID NUMBER
Indiana Other 10824841 PHCS PID NUMBER
Indiana MEDICAID 100088650 PHCS PID NUMBER

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