Brown, Michelle

Brown, Michelle is an sole proprietor health care provider with primary practice located at 30 Yorkshire Pkwy , Gulfport MS 39503-4018. She recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care. Agencies / Home Health is her primary health care specialty. Brown, Michelle can be contacted via phone (228) 563-3501.

Contact Information

Primary practice address
30 Yorkshire Pkwy Gulfport MS 39503-4018
Phone: (228) 563-3501
Fax: (228) 206-6444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X DOM05768 Mississippi
Agencies / Early Intervention Provider Agency 252Y00000X DOM05768 Mississippi
Agencies / In Home Supportive Care 253Z00000X DOM05768 Mississippi

Profile Details

NPI number 1093192791
LBN Legal business name Brown, Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2015
Last updated Sep 12th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093192791 NPPES
Mississippi Other DOM05768 THE DIVISION OF MEDICAID AND THE ARC OF MISSISSIPPI/CERTIFICATION

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