Brown, Wilfred

Brown, Wilfred is an sole proprietor health care provider with primary practice located at 530 Middlebury Rd Suite 201A, Middlebury CT 06762-2500. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Brown, Wilfred can be contacted via phone (203) 758-2564.

Contact Information

Primary practice address
530 Middlebury Rd Suite 201A Middlebury CT 06762-2500
Phone: (203) 758-2564
Fax: (203) 758-2587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 033266 Connecticut
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 033266 Connecticut

Profile Details

NPI number 1417053620
LBN Legal business name Brown, Wilfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Mar 2nd, 2015 - about 9 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 1417053620 NPPES
Connecticut MEDICAID 00133266800

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