Brown, Joe

Brown, Joe is an individual health care provider with primary practice located at 616 W Forest Ave , Jackson TN 38301-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brown, Joe can be contacted via phone (731) 422-0288.

Contact Information

Primary practice address
616 W Forest Ave Jackson TN 38301-3902
Phone: (731) 422-0288
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 6902 Tennessee

Profile Details

NPI number 1093700791
LBN Legal business name Brown, Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated May 29th, 2008 - about 17 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 1093700791 NPPES
Tennessee Other 300024978 MEDICARE RR
Tennessee MEDICAID 3003349 MEDICARE RR

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