Brown, Gabriel

Brown, Gabriel is an individual health care provider with primary practice located at 101 Elm Ave Se , Roanoke VA 24013-2222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brown, Gabriel can be contacted via phone (540) 224-4380.

Contact Information

Primary practice address
101 Elm Ave Se Roanoke VA 24013-2222
Phone: (540) 224-4380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401-410219 Virginia

Profile Details

NPI number 1417910456
LBN Legal business name Brown, Gabriel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 25th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417910456 NPPES
Virginia MEDICAID 7800967

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