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
Fax: (860) 561-7272
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306840640 NPPES
Connecticut MEDICAID 001414359

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