Brown, Suzanne M
Brown, Suzanne M is an individual health care provider with primary practice located at 15 Enterprise Dr , Augusta ME 04330-7997. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brown, Suzanne M can be contacted via phone (207) 621-1880.Contact Information
Primary practice address
15 Enterprise Dr
Augusta ME 04330-7997
Phone: (207) 621-1880
Fax: (207) 621-1881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA001206 | Maine |
Profile Details
| NPI number | 1649270406 |
|---|---|
| LBN Legal business name | Brown, Suzanne M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jan 15th, 2021 - about 4 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 | 1649270406 | NPPES |
| Maine | MEDICAID | 435779399 |
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