Brown, Mark
Brown, Mark is an individual health care provider with primary practice located at 95 Storrs Rd , Willimantic CT 06226-4012. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Brown, Mark can be contacted via phone (860) 423-7807.Contact Information
Primary practice address
95 Storrs Rd
Willimantic CT 06226-4012
Phone: (860) 423-7807
Fax: (860) 423-7393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 392 | Connecticut |
Profile Details
| NPI number | 1831570746 |
|---|---|
| LBN Legal business name | Brown, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Jun 16th, 2015 - about 10 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 | 1831570746 | NPPES |
| Connecticut | MEDICAID | 1598891855 |
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