Brown, Manuel L
Brown, Manuel L is an individual health care provider with primary practice located at 1000 Neighborhood Pl , Fairdale KY 40118-9697. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Brown, Manuel L can be contacted via phone (812) 218-8926.Contact Information
Primary practice address
1000 Neighborhood Pl
Fairdale KY 40118-9697
Phone: (812) 218-8926
Fax: (812) 218-8930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 16772 | Kentucky |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 16772 | Kentucky |
Profile Details
| NPI number | 1114052677 |
|---|---|
| LBN Legal business name | Brown, Manuel L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | May 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114052677 | NPPES |
| Kentucky | MEDICAID | 64167729 |
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