1376875575 NPI number — BROWN CHIROPRACTIC ASSOCIATES, PC

Table of content: (NPI 1376875575)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376875575 NPI number — BROWN CHIROPRACTIC ASSOCIATES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BROWN CHIROPRACTIC ASSOCIATES, PC
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:
1376875575
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
187 NEW HACKENSACK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAPPINGERS FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12590-1726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-297-3751
Provider Business Mailing Address Fax Number:
845-297-4884

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
187 NEW HACKENSACK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAPPINGERS FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12590-1722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-297-3751
Provider Business Practice Location Address Fax Number:
845-297-4884
Provider Enumeration Date:
02/12/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
MARC
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
845-297-3751

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  X008328 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0579923001 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4366499 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 50130 . This is a "PRISM" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: CO8328-9B . This is a "WORKERS COMP BOARD NO." identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 926881 . This is a "MANAGED PHYSICAL NETWORK" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: X92621 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0579923001 . This is a "CIGNA PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5342643 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 99871 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 83289 . This is a "SPECIAL FUNDS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0579923003 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1C8150 . This is a "HEALTHNET PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: CO8328-9B . This is a "WORKER COMP BOARD SO." identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P515078 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 08238 . This is a "LANDMARK HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 83289 . This is a "THE PMA GROUP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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