Brown, Preston W

Brown, Preston W is an sole proprietor health care provider with primary practice located at 719 Cook Dr Ste 109, Athens TN 37303-3495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brown, Preston W can be contacted via phone (423) 745-2344.

Contact Information

Primary practice address
719 Cook Dr Ste 109 Athens TN 37303-3495
Fax: (423) 745-2314
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD35485 Tennessee

Profile Details

NPI number 1306806112
LBN Legal business name Brown, Preston W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Mar 1st, 2010 - about 15 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 1306806112 NPPES
Tennessee Other 4033554 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3872578 BLUE CROSS BLUE SHIELD

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