Brown, Ty

Brown, Ty is an individual health care provider with primary practice located at 2670 Chancellor Drive , Crestview Hills KY 41017-5466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Brown, Ty can be contacted via phone (859) 957-0052.

Contact Information

Primary practice address
2670 Chancellor Drive Crestview Hills KY 41017-5466
Phone: (859) 957-0052
Fax: (859) 957-0054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 41471 Kentucky

Profile Details

NPI number 1205037470
LBN Legal business name Brown, Ty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Sep 24th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205037470 NPPES
Indiana MEDICAID 201206690
Indiana MEDICAID 7100039290
Indiana Other P00935634

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