1376875575 NPI number — BROWN CHIROPRACTIC ASSOCIATES, PC

Table of Contents

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".




Copyright © 2007-2024 www.npivalidator.com