1235494717 NPI number — DR. J CLIFFORD BROWN, A DIVISION OF HENDERSONVILLE REHAB CLINIC, INC

Table of content: ASHIT GAJENDRA PATEL M.D. (NPI 1427276757)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235494717 NPI number — DR. J CLIFFORD BROWN, A DIVISION OF HENDERSONVILLE REHAB CLINIC, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. J CLIFFORD BROWN, A DIVISION OF HENDERSONVILLE REHAB CLINIC, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235494717
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
635 E MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSONVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37075-2645
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-824-8484
Provider Business Mailing Address Fax Number:
615-826-0669

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
635 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSONVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37075-2645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-824-8484
Provider Business Practice Location Address Fax Number:
615-826-0669
Provider Enumeration Date:
07/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
CLIFFORD
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
615-824-8484

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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