Brown, Jon Miles

Brown, Jon Miles is an individual health care provider with primary practice located at 2220 W Iowa Ave , Chickasha OK 73018-2738. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brown, Jon Miles can be contacted via phone (405) 224-2300.

Contact Information

Primary practice address
2220 W Iowa Ave Chickasha OK 73018-2738
Phone: (405) 224-2300
Fax: (405) 779-2143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0066268 Oklahoma

Profile Details

NPI number 1528048857
LBN Legal business name Brown, Jon Miles
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 2nd, 2009 - about 16 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 1528048857 NPPES
Oklahoma MEDICAID 200074160A

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