Brown, Jeffrey
Brown, Jeffrey is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Brown, Jeffrey can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
2600 Ferry St
Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 838-4698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01030352A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01030352A | Indiana |
Profile Details
| NPI number | 1891764858 |
|---|---|
| LBN Legal business name | Brown, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Feb 1st, 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 | 1891764858 | NPPES |
| Indiana | Other | 9401915 | PHCS PID NUMBER |
| Indiana | Other | 000000197889 | PHCS PID NUMBER |
| Indiana | Other | 10824841 | PHCS PID NUMBER |
| Indiana | MEDICAID | 100088650 | PHCS PID NUMBER |
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