1891832911 NPI number — DR. ANNE CATHERINE BROWN MD

Table of content: LAURA M BERNABE LMHC,CASAC (NPI 1396881371)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891832911 NPI number — DR. ANNE CATHERINE BROWN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
ANNE
Provider Middle Name:
CATHERINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1891832911
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 95
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DILLSBORO
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47018-0095
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-432-3600
Provider Business Mailing Address Fax Number:
812-432-3702

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12827 LENOVER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DILLSBORO
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-432-3600
Provider Business Practice Location Address Fax Number:
812-432-3702
Provider Enumeration Date:
01/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  01045571A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000000074165 . This is a "ANTHEM" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 639097 . This is a "AETNA" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: N45571 . This is a "HUMANA CHOICE CARE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 0104700 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 0104700 . This is a "UNITED HEALTHCARE OHIO" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 1736678 . This is a "FIRST HEALTH" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 200097060A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com