Brown, Jerry W
Brown, Jerry W is an individual health care provider with primary practice located at 6300 Riverside Plaza Ln Nw Suite 100, Albuquerque NM 87120-2617. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Brown, Jerry W can be contacted via phone (505) 400-7282.Contact Information
Primary practice address
6300 Riverside Plaza Ln Nw Suite 100
Albuquerque NM 87120-2617
Phone: (505) 400-7282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2389 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2389 | New Mexico |
Profile Details
| NPI number | 1467591289 |
|---|---|
| LBN Legal business name | Brown, Jerry W |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | May 11th, 2017 - about 8 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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