Brown, Michael R

Brown, Michael R is an individual health care provider with primary practice located at 1606 N 7Th St , Terre Haute IN 47804-2706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brown, Michael R can be contacted via phone (812) 238-7000.

Contact Information

Primary practice address
1606 N 7Th St Terre Haute IN 47804-2706
Phone: (812) 238-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01030206A Indiana

Profile Details

NPI number 1104807353
LBN Legal business name Brown, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 18th, 2010 - about 16 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 1104807353 NPPES
Indiana Other 300138824 RR MEDICARE
Indiana MEDICAID 100447920 RR MEDICARE
Indiana Other P00238640 RR MEDICARE

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