Brown, Shawn C

Brown, Shawn C is an individual health care provider with primary practice located at 2711 S Meadowbrook Ave , Springfield MO 65807-5924. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Brown, Shawn C can be contacted via phone (417) 887-0081.

Contact Information

Primary practice address
2711 S Meadowbrook Ave Springfield MO 65807-5924
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 106676 Missouri

Profile Details

NPI number 1629065073
LBN Legal business name Brown, Shawn C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629065073 NPPES
Missouri Other P01038081 RR CARE
Missouri MEDICAID 1629065073 RR CARE

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