Grow, Brien N

Grow, Brien N is an individual health care provider with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Grow, Brien N can be contacted via phone (765) 456-5433.

Contact Information

Primary practice address
1907 W Sycamore St Kokomo IN 46901-5148
Phone: (765) 456-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02001260A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02001260A Indiana

Profile Details

NPI number 1639199300
LBN Legal business name Grow, Brien N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 20th, 2016 - about 10 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 1639199300 NPPES
Indiana MEDICAID 200395990A
Indiana MEDICAID 100366310B
Indiana Other 000000728092
Indiana MEDICAID 100366310

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