Brown, Nicole Marie

Brown, Nicole Marie is an sole proprietor health care provider with primary practice located at 333 Cedar Street Shm Ie-61 , New Haven CT 06520. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Brown, Nicole Marie can be contacted via phone (203) 785-2478.

Contact Information

Primary practice address
333 Cedar Street Shm Ie-61 New Haven CT 06520
Phone: (203) 785-2478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 050278 Connecticut

Profile Details

NPI number 1134394323
LBN Legal business name Brown, Nicole Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Jul 16th, 2012 - about 12 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 1134394323 NPPES
Connecticut MEDICAID 004235900

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