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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1518305945 | NPPES |
| Ohio | MEDICAID | 0296428 |
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