Brown, Justin C
Brown, Justin C is an individual health care provider with primary practice located at 6035 Fairview Rd , Charlotte NC 28210-3256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Brown, Justin C can be contacted via phone (704) 295-3000.Contact Information
Primary practice address
6035 Fairview Rd
Charlotte NC 28210-3256
Phone: (704) 295-3000
Fax: (704) 295-3186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 2006-00258 | North Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2006-00258 | North Carolina |
Profile Details
| NPI number | 1548228026 |
|---|---|
| LBN Legal business name | Brown, Justin C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 26th, 2021 - about 3 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 | 1548228026 | NPPES |
| South Carolina | Other | 01151965 | AMERIGROUP COMMUNITY CARE |
| South Carolina | MEDICAID | 401804400 | AMERIGROUP COMMUNITY CARE |
| South Carolina | Other | 189766 | AMERIGROUP COMMUNITY CARE |
| South Carolina | Other | 5193595 | AMERIGROUP COMMUNITY CARE |
| South Carolina | Other | 80824 | AMERIGROUP COMMUNITY CARE |
| South Carolina | Other | 20099589 | AMERIGROUP COMMUNITY CARE |
| South Carolina | MEDICAID | 5903896 | AMERIGROUP COMMUNITY CARE |
| South Carolina | MEDICAID | N58006 | AMERIGROUP COMMUNITY CARE |
| South Carolina | Other | 5779672 | AMERIGROUP COMMUNITY CARE |
| South Carolina | Other | 142VW | AMERIGROUP COMMUNITY CARE |
| South Carolina | Other | 773868 | AMERIGROUP COMMUNITY CARE |
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