Brown, Ian M

Brown, Ian M is an individual health care provider with primary practice located at 3 Gates Cir , Buffalo NY 14209-1120. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brown, Ian M can be contacted via phone (716) 885-0602.

Contact Information

Primary practice address
3 Gates Cir Buffalo NY 14209-1120
Phone: (716) 885-0602
Fax: (716) 885-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 005991 New York

Profile Details

NPI number 1942266119
LBN Legal business name Brown, Ian M
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1942266119 NPPES
New York MEDICAID 01773995

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