Brown, Jennifer Maze

Brown, Jennifer Maze is an sole proprietor health care provider with primary practice located at 711 Roanoke Ave , Elizabeth City NC 27909-5643. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brown, Jennifer Maze can be contacted via phone (252) 338-4400.

Contact Information

Primary practice address
711 Roanoke Ave Elizabeth City NC 27909-5643
Phone: (252) 338-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24173 North Carolina

Profile Details

NPI number 1073650495
LBN Legal business name Brown, Jennifer Maze
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Aug 9th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073650495 NPPES
North Carolina Other 19127 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 89-19127 BLUE CROSS BLUE SHIELD

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