Brown, Douglas E

Brown, Douglas E is an individual health care provider with primary practice located at 1855 Lakeland Dr Suite J10, Jackson MS 39216-4913. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Brown, Douglas E can be contacted via phone (601) 987-9425.

Contact Information

Primary practice address
1855 Lakeland Dr Suite J10 Jackson MS 39216-4913
Phone: (601) 987-9425
Fax: (601) 987-0093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X MRT1971 Mississippi

Profile Details

NPI number 1528254554
LBN Legal business name Brown, Douglas E
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated Dec 20th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528254554 NPPES
Mississippi MEDICAID 03423284

Popular Providers