Brown, Jamie M
Brown, Jamie M is an individual health care provider with primary practice located at 1711 Gold Dr S Suite 170, Fargo ND 58103-6416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brown, Jamie M can be contacted via phone (701) 232-7705.Contact Information
Primary practice address
1711 Gold Dr S Suite 170
Fargo ND 58103-6416
Phone: (701) 232-7705
Fax: (701) 893-9046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PAC0375 | North Dakota |
Profile Details
| NPI number | 1205015633 |
|---|---|
| LBN Legal business name | Brown, Jamie M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2007 |
| Last updated | Sep 7th, 2012 - about 14 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 | 1205015633 | NPPES |
| Minnesota | MEDICAID | 968415100 |
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