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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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