Savage Brown, Jeanetta
Savage Brown, Jeanetta is an sole proprietor health care provider with primary practice located at 2028 Winchester Ave , Ashland KY 41101-7744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Savage Brown, Jeanetta can be contacted via phone (606) 326-9001.Contact Information
Primary practice address
2028 Winchester Ave
Ashland KY 41101-7744
Phone: (606) 326-9001
Fax: (606) 326-9005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2081 | Kentucky |
Profile Details
| NPI number | 1760849111 |
|---|---|
| LBN Legal business name | Savage Brown, Jeanetta |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2016 |
| Last updated | Jan 25th, 2024 - about last year |
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 | 1760849111 | NPPES |
| Kentucky | MEDICAID | 7100399050 | |
| Kentucky | MEDICAID | 0155316 |
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