Brown, Roger Timothy
Brown, Roger Timothy is an sole proprietor health care provider with primary practice located at 635 Lafitte St Ste B , Mandeville LA 70448-5269. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Brown, Roger Timothy can be contacted via phone (985) 624-5305.Contact Information
Primary practice address
635 Lafitte St Ste B
Mandeville LA 70448-5269
Phone: (985) 624-5305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 021216 | Louisiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 021216 | Louisiana |
Profile Details
| NPI number | 1538269683 |
|---|---|
| LBN Legal business name | Brown, Roger Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Sep 4th, 2019 - about 5 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 | 1538269683 | NPPES |
| Louisiana | MEDICAID | 1673064 |
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