Brown, David Gordon
Brown, David Gordon is an individual health care provider with primary practice located at 3219 Landmark St Ste 7A , Greenville NC 27834-7688. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Brown, David Gordon can be contacted via phone (252) 355-2801.Contact Information
Primary practice address
3219 Landmark St Ste 7A
Greenville NC 27834-7688
Phone: (252) 355-2801
Fax: (252) 355-4708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2253 | North Carolina |
Profile Details
| NPI number | 1396873311 |
|---|---|
| LBN Legal business name | Brown, David Gordon |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 30th, 2009 - about 17 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 | 1396873311 | NPPES |
| North Carolina | Other | 134AF | BCBS |
| North Carolina | Other | 184637 | BCBS |
| North Carolina | MEDICAID | 6103090 | BCBS |
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