Brown, Richard M.

Brown, Richard M. is an individual health care provider with primary practice located at 12871 E Jefferson Ave , Detroit MI 48215-2754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brown, Richard M. can be contacted via phone (313) 821-3900.

Contact Information

Primary practice address
12871 E Jefferson Ave Detroit MI 48215-2754
Fax: (313) 821-1511
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101004809 Michigan

Profile Details

NPI number 1801888565
LBN Legal business name Brown, Richard M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Dec 2nd, 2011 - about 15 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 1801888565 NPPES
Michigan MEDICAID 3179135-11
Michigan MEDICAID 3144111-11

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