Brown, Sherery Roshelle
Brown, Sherery Roshelle is an sole proprietor health care provider with primary practice located at 916 Brookdale St Ste 2 , Martinsville VA 24112-3105. She recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as her primary health care specialty. Brown, Sherery Roshelle can be contacted via phone (276) 790-3341.Contact Information
Primary practice address
916 Brookdale St Ste 2
Martinsville VA 24112-3105
Phone: (276) 790-3341
Fax: (276) 790-3167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | Virginia |
Profile Details
| NPI number | 1679081103 |
|---|---|
| LBN Legal business name | Brown, Sherery Roshelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2018 |
| Last updated | Jan 18th, 2018 - about 6 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 | 1679081103 | NPPES |
| Virginia | MEDICAID | 0242569520 |
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