Brown, Matrika J

Brown, Matrika J is an individual health care provider with primary practice located at 7300 E Indiana St Ste 103 , Evansville IN 47715-7448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brown, Matrika J can be contacted via phone (812) 401-8008.

Contact Information

Primary practice address
7300 E Indiana St Ste 103 Evansville IN 47715-7448
Phone: (812) 401-8008
Fax: (812) 401-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71005108A Indiana

Profile Details

NPI number 1912300542
LBN Legal business name Brown, Matrika J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2014
Last updated Mar 7th, 2023 - about 3 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 1912300542 NPPES
Other 12752391 CAQH
MEDICAID 201254040 CAQH
Other 000000898948 CAQH
Other 71005108B CAQH
Other 834950003 CAQH

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