Brown, Sandra R.

Brown, Sandra R. is an individual health care provider with primary practice located at 1144 W Plymouth St , Bremen IN 46506-1842. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Brown, Sandra R. can be contacted via phone (574) 546-5363.

Contact Information

Primary practice address
1144 W Plymouth St Bremen IN 46506-1842
Fax: (574) 546-2575
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01027735A Indiana
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 01027735A Indiana

Profile Details

NPI number 1194764449
LBN Legal business name Brown, Sandra R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 25th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194764449 NPPES
Indiana MEDICAID 100338010

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