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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568580405 NPPES
California MEDICAID 00G351140

Popular Providers