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
Fax: (315) 452-2870
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386604858 NPPES
New York MEDICAID 01976530

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