Brown-Simpson, Doretha Clara
Brown-Simpson, Doretha Clara is an sole proprietor health care provider with primary practice located at 22424 144Th Ave , Springfield Gardens NY 11413-3501. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Brown-Simpson, Doretha Clara can be contacted via phone (917) 854-3290.Contact Information
Primary practice address
22424 144Th Ave
Springfield Gardens NY 11413-3501
Phone: (917) 854-3290
Fax: (718) 341-0005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 195920021 | New York |
Profile Details
| NPI number | 1083153472 |
|---|---|
| LBN Legal business name | Brown-Simpson, Doretha Clara |
| Credentials | ED. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2017 |
| Last updated | Feb 17th, 2017 - about 7 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 | 1083153472 | NPPES |
| New York | MEDICAID | 1016 |
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