Brown, Sanford Jay

Brown, Sanford Jay is an individual health care provider with primary practice located at 815B Sequoia Circle , Fort Bragg CA 95437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brown, Sanford Jay can be contacted via phone (707) 964-9168.

Contact Information

Primary practice address
815B Sequoia Circle Fort Bragg CA 95437
Fax: (707) 964-7243
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G27703 California

Profile Details

NPI number 1396851440
LBN Legal business name Brown, Sanford Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1396851440 NPPES
California MEDICAID 9731118

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