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
Phone: (574) 546-5363
Fax: (574) 546-2575
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194764449 | NPPES |
Indiana | MEDICAID | 100338010 |
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