Brown, Jordan David

Brown, Jordan David is an sole proprietor health care provider with primary practice located at 7700 Washington Village Dr Ste 130 , Centerville OH 45459-4094. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Brown, Jordan David can be contacted via phone (937) 531-0195.

Contact Information

Primary practice address
7700 Washington Village Dr Ste 130 Centerville OH 45459-4094
Phone: (937) 531-0195
Fax: (937) 531-0196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 34.011770 Ohio

Profile Details

NPI number 1518305945
LBN Legal business name Brown, Jordan David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2013
Last updated Nov 23rd, 2020 - about 5 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 1518305945 NPPES
Ohio MEDICAID 0296428

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