Brown, Jeffrey Michael
Brown, Jeffrey Michael is an individual health care provider with primary practice located at 225 E Wood St , Spartanburg SC 29303-3050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brown, Jeffrey Michael can be contacted via phone (864) 583-4420.Contact Information
Primary practice address
225 E Wood St
Spartanburg SC 29303-3050
Phone: (864) 583-4420
Fax: (864) 560-4413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 657 | South Carolina |
Profile Details
| NPI number | 1871556126 |
|---|---|
| LBN Legal business name | Brown, Jeffrey Michael |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Dec 3rd, 2020 - about 5 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 | 1871556126 | NPPES |
| South Carolina | Other | 195809 | MEDCOST |
| South Carolina | Other | R397245019 | MEDCOST |
| South Carolina | MEDICAID | 0483PA | MEDCOST |
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