Brown, Edward Ivan
Brown, Edward Ivan is an individual health care provider with primary practice located at 501 Tenth Street , Niagara Falls NY 14301-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brown, Edward Ivan can be contacted via phone (716) 278-4418.Contact Information
Primary practice address
501 Tenth Street
Niagara Falls NY 14301-1800
Phone: (716) 278-4418
Fax: (716) 284-7188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1599632 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 159963 | New York |
Profile Details
| NPI number | 1548309362 |
|---|---|
| LBN Legal business name | Brown, Edward Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Nov 29th, 2011 - about 15 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 | 1548309362 | NPPES |
| New York | Other | 00010201001 | UNIVERA |
| New York | MEDICAID | 00967840 | UNIVERA |
| New York | Other | 1203556 | UNIVERA |
| New York | Other | 000510044005 | UNIVERA |
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