MEDICARE: DR. JONATHAN ROBERT BROWN D.C.

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	111N00000X	Chiropractor	3392	NC

General Provider Information

NPI Number	:	1689734303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN ROBERT BROWN D.C.

Provider Business Mailing Address
First Line	:	235 ST JOHNS RD
Second Line	:	SUITE 40
City	:	FLETCHER
State	:	NC
Zip	:	28732-8334
Country	:	US
Telephone Number	:	828-681-5454
Fax Number	:	828-681-5054

Provider Business Practice Location Address
First Line	:	235 ST JOHNS RD
Second Line	:	SUITE 40
City	:	FLETCHER
State	:	NC
Zip	:	28732-8334
Country	:	US
Telephone Number	:	828-681-5454
Fax Number	:	828-681-5054

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	12/26/2013

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