Brown, Matrika J
Brown, Matrika J is an individual health care provider with primary practice located at 7300 E Indiana St Ste 103 , Evansville IN 47715-7448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brown, Matrika J can be contacted via phone (812) 401-8008.Contact Information
Primary practice address
7300 E Indiana St Ste 103
Evansville IN 47715-7448
Phone: (812) 401-8008
Fax: (812) 401-8201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 71005108A | Indiana |
Profile Details
NPI number | 1912300542 |
---|---|
LBN Legal business name | Brown, Matrika J |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2014 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1912300542 | NPPES |
Other | 12752391 | CAQH | |
MEDICAID | 201254040 | CAQH | |
Other | 000000898948 | CAQH | |
Other | 71005108B | CAQH | |
Other | 834950003 | CAQH |
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