Brown, Thomas Chandler

Brown, Thomas Chandler is an individual health care provider with primary practice located at 3437 Tupelo Commons Suite 102, Tupelo MS 38804-9791. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Brown, Thomas Chandler can be contacted via phone (662) 680-3200.

Contact Information

Primary practice address
3437 Tupelo Commons Suite 102 Tupelo MS 38804-9791
Phone: (662) 680-3200
Fax: (662) 680-5090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT3177 Mississippi

Profile Details

NPI number 1497822134
LBN Legal business name Brown, Thomas Chandler
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Mar 26th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497822134 NPPES
Mississippi Other 582681044 TAX ID #
Mississippi MEDICAID 00138736 TAX ID #

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