Grow, Brien N
Grow, Brien N is an individual health care provider with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Grow, Brien N can be contacted via phone (765) 456-5433.Contact Information
Primary practice address
1907 W Sycamore St
Kokomo IN 46901-5148
Phone: (765) 456-5433
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 02001260A | Indiana |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02001260A | Indiana |
Profile Details
NPI number | 1639199300 |
---|---|
LBN Legal business name | Grow, Brien N |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | May 20th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639199300 | NPPES |
Indiana | MEDICAID | 200395990A | |
Indiana | MEDICAID | 100366310B | |
Indiana | Other | 000000728092 | |
Indiana | MEDICAID | 100366310 |
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