Brown, Mary A

Brown, Mary A is an individual health care provider with primary practice located at 100 Casa Street Suite B, San Luis Obispo CA 93405-1818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Mary A can be contacted via phone (805) 242-0614.

Contact Information

Primary practice address
100 Casa Street Suite B San Luis Obispo CA 93405-1818
Phone: (805) 242-0614
Fax: (805) 457-1550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G51256 California

Profile Details

NPI number 1346280492
LBN Legal business name Brown, Mary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 26th, 2015 - about 11 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 1346280492 NPPES
Other 5472331 AETNA PIN
Other 106272900 AETNA PIN
MEDICAID 00G512560 AETNA PIN
Other CB234375 AETNA PIN

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