Cizerle-Brown, Ian

Cizerle-Brown, Ian is an individual health care provider with primary practice located at 220 E Chestnut St , Independence KS 67301-3132. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cizerle-Brown, Ian can be contacted via phone (620) 331-0057.

Contact Information

Primary practice address
220 E Chestnut St Independence KS 67301-3132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2356 Kansas

Profile Details

NPI number 1881926012
LBN Legal business name Cizerle-Brown, Ian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2010
Last updated Mar 10th, 2014 - about 12 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 1881926012 NPPES
Kansas MEDICAID 200636930A

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