Brown, Bennie
Brown, Bennie is an individual health care provider with primary practice located at 447 N Belair Rd Ste 101 , Evans GA 30809-3091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brown, Bennie can be contacted via phone (706) 854-2222.Contact Information
Primary practice address
447 N Belair Rd Ste 101
Evans GA 30809-3091
Phone: (706) 854-2222
Fax: (706) 854-2223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18711 | Mississippi |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 065085 | Georgia |
Profile Details
| NPI number | 1770570236 |
|---|---|
| LBN Legal business name | Brown, Bennie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Feb 5th, 2015 - about 10 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 | 1770570236 | NPPES |
| Mississippi | MEDICAID | 08636876 | |
| Mississippi | MEDICAID | 003139672C |
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