Brown, Jerrell Scott
Brown, Jerrell Scott is an sole proprietor health care provider with primary practice located at 1650 Creekside Dr , Folsom CA 95630-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brown, Jerrell Scott can be contacted via phone (916) 983-7561.Contact Information
Primary practice address
1650 Creekside Dr
Folsom CA 95630-3400
Phone: (916) 983-7561
Fax: (916) 984-7392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G063511 | California |
Profile Details
| NPI number | 1154337152 |
|---|---|
| LBN Legal business name | Brown, Jerrell Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 12th, 2013 - about 11 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 | 1154337152 | NPPES |
| California | Other | 00G635110 | BLUE SHIELD |
| California | MEDICAID | 00G635111 | BLUE SHIELD |
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