Brown, Olivia Jo

Brown, Olivia Jo is an individual health care provider with primary practice located at 842 E Mountain Pkwy , Salyersville KY 41465-8378. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brown, Olivia Jo can be contacted via phone (606) 349-8100.

Contact Information

Primary practice address
842 E Mountain Pkwy Salyersville KY 41465-8378
Phone: (606) 349-8100
Fax: (606) 349-8150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC998 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2727 Kentucky

Profile Details

NPI number 1598358285
LBN Legal business name Brown, Olivia Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2021
Last updated Apr 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598358285 NPPES
Kentucky MEDICAID 7100734060

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