Brown, Jennie L
Brown, Jennie L is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 1D, Liverpool NY 13088-3807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Jennie L can be contacted via phone (315) 452-2829.Contact Information
Primary practice address
5100 W Taft Rd Suite 1D
Liverpool NY 13088-3807
Phone: (315) 452-2829
Fax: (315) 452-2870
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 208202 | New York |
Profile Details
NPI number | 1386604858 |
---|---|
LBN Legal business name | Brown, Jennie L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Nov 15th, 2011 - about 14 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 | 1386604858 | NPPES |
New York | MEDICAID | 01976530 |
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