Brown, Justin M
Brown, Justin M is an individual health care provider with primary practice located at 55 Fruit St # 745 , Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Brown, Justin M can be contacted via phone (617) 726-8582.Contact Information
Primary practice address
55 Fruit St # 745
Boston MA 02114-2621
Phone: (617) 726-8582
Fax: (858) 822-4715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | A117012 | California |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 2007004395 | Missouri |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 273253 | Massachusetts |
Profile Details
| NPI number | 1033234562 |
|---|---|
| LBN Legal business name | Brown, Justin M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Dec 7th, 2017 - about 8 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 | 1033234562 | NPPES |
| California | MEDICAID | 1033234562 | |
| California | MEDICAID | 206315707 |
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