Brown, Jelani
Brown, Jelani is an sole proprietor health care provider with primary practice located at 1833 Mount Zion Rd , Morrow GA 30260-3015. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Brown, Jelani can be contacted via phone (917) 753-0777.Contact Information
Primary practice address
1833 Mount Zion Rd
Morrow GA 30260-3015
Phone: (917) 753-0777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN122989 | Georgia |
Profile Details
| NPI number | 1619560349 |
|---|---|
| LBN Legal business name | Brown, Jelani |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2021 |
| Last updated | Mar 13th, 2023 - about 2 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 | 1619560349 | NPPES |
| New York | MEDICAID | 744531758-00 |
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