MEDICARE: CHAD AARON BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor	242300187	MI

General Provider Information

NPI Number	:	1497442065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD AARON BROWN

Provider Business Mailing Address
First Line	:	26276 HEIER CT
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-1525
Country	:	US
Telephone Number	:	734-365-2454
Fax Number	:

Provider Business Practice Location Address
First Line	:	26276 HEIER CT
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-1525
Country	:	US
Telephone Number	:	734-365-2454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2023
Last Update Date	:	04/24/2023

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Directions to “ CHAD AARON BROWN ” Practice Location

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