Brown, Jeffrey R
Brown, Jeffrey R is an individual health care provider with primary practice located at 445 South Main Street , West Hartford CT 06110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Brown, Jeffrey R can be contacted via phone (860) 561-7111.Contact Information
Primary practice address
445 South Main Street
West Hartford CT 06110
Phone: (860) 561-7111
Fax: (860) 561-7272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 041435 | Connecticut |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 041435 | Connecticut |
Profile Details
| NPI number | 1306840640 |
|---|---|
| LBN Legal business name | Brown, Jeffrey R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Oct 19th, 2021 - about 3 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 | 1306840640 | NPPES |
| Connecticut | MEDICAID | 001414359 |
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