Brown, Gary W.
Brown, Gary W. is an sole proprietor health care provider with primary practice located at 1582 N Broad St Suite 2, Tazewell TN 37879-4352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Brown, Gary W. can be contacted via phone (423) 626-0277.Contact Information
Primary practice address
1582 N Broad St Suite 2
Tazewell TN 37879-4352
Phone: (423) 626-0277
Fax: (423) 626-0082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 14103 | Tennessee |
Profile Details
| NPI number | 1396988762 |
|---|---|
| LBN Legal business name | Brown, Gary W. |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Jun 26th, 2024 - about 2 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 | 1396988762 | NPPES |
| Tennessee | Other | 14103 | MEDICAL LICENSURE |
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