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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528254554 | NPPES |
| Mississippi | MEDICAID | 03423284 |
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