Brown, Gina M

Brown, Gina M is an individual health care provider with primary practice located at 3340 Providence Dr Ste A358 , Anchorage AK 99508-4691. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Brown, Gina M can be contacted via phone (907) 268-2067.

Contact Information

Primary practice address
3340 Providence Dr Ste A358 Anchorage AK 99508-4691
Phone: (907) 268-2067
Fax: (855) 395-0858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 7714 Alaska
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X MD157001 Oregon
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 157001 Oregon
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 7714 Alaska

Profile Details

NPI number 1295881977
LBN Legal business name Brown, Gina M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Apr 26th, 2019 - about 7 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 1295881977 NPPES
Alaska MEDICAID 1583538

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