Brown, Juanita Ann

Brown, Juanita Ann is an individual health care provider with primary practice located at 4 Fairchild Ct , Hampton VA 23666-6028. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Brown, Juanita Ann can be contacted via phone (757) 332-6000.

Contact Information

Primary practice address
4 Fairchild Ct Hampton VA 23666-6028
Fax: (757) 262-1278
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Virginia

Profile Details

NPI number 1851804728
LBN Legal business name Brown, Juanita Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2017
Last updated Nov 14th, 2017 - about 7 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 1851804728 NPPES
Virginia MEDICAID 82-1285914

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