Brown, Garry J
Brown, Garry J is an individual health care provider with primary practice located at 1501 N Oakland Ave , Bolivar MO 65613-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Brown, Garry J can be contacted via phone (417) 326-7200.Contact Information
Primary practice address
1501 N Oakland Ave
Bolivar MO 65613-3020
Phone: (417) 326-7200
Fax: (417) 326-7201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2005041207 | Missouri |
Profile Details
| NPI number | 1043366925 |
|---|---|
| LBN Legal business name | Brown, Garry J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jan 12th, 2021 - about 5 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 | 1043366925 | NPPES |
| Missouri | MEDICAID | 20091105 | |
| Missouri | Other | 146240006 | |
| Missouri | MEDICAID | 161641103 | |
| Missouri | Other | 16701011 | |
| Missouri | MEDICAID | 200721240A |
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