Brown, Theodore Henry
Brown, Theodore Henry is an sole proprietor health care provider with primary practice located at 1220 E Avenue S Suite M, Palmdale CA 93550-6196. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brown, Theodore Henry can be contacted via phone (310) 348-0500.Contact Information
Primary practice address
1220 E Avenue S Suite M
Palmdale CA 93550-6196
Phone: (310) 348-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G035114 | California |
Profile Details
| NPI number | 1568580405 |
|---|---|
| LBN Legal business name | Brown, Theodore Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1568580405 | NPPES |
| California | MEDICAID | 00G351140 |
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