Brown, Jeremy Randall
Brown, Jeremy Randall is an individual health care provider with primary practice located at 2625 E Southlake Blvd Ste 180 , Southlake TX 76092-8042. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Brown, Jeremy Randall can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
2625 E Southlake Blvd Ste 180
Southlake TX 76092-8042
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 11408 | Texas |
Profile Details
| NPI number | 1588987739 |
|---|---|
| LBN Legal business name | Brown, Jeremy Randall |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2010 |
| Last updated | May 16th, 2024 - about 6 months 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 | 1588987739 | NPPES |
| Texas | Other | 11408 | CHIROPRACTIC LICENSE |
| Texas | Other | 11408 | CHIROPRACTIC LICENSE |
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