Healthcare Provider Details

I. General information

NPI: 1972687895
Provider Name (Legal Business Name): JOHN ROBERT BROW DC, DACNB, CNS, CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 LAMBS GAP RD
MECHANICSBURG PA
17050-2522
US

IV. Provider business mailing address

310 LAMBS GAP RD
MECHANICSBURG PA
17050-2522
US

V. Phone/Fax

Practice location:
  • Phone: 717-795-9566
  • Fax: 717-795-9566
Mailing address:
  • Phone: 717-795-9566
  • Fax: 717-795-9566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberS0029322
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberMC00468600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: