Healthcare Provider Details

I. General information

NPI: 1184775751
Provider Name (Legal Business Name): ARTHUR E. BROWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 E 21ST ST
NORTHAMPTON PA
18067-1207
US

IV. Provider business mailing address

337 E 21ST ST
NORTHAMPTON PA
18067-1207
US

V. Phone/Fax

Practice location:
  • Phone: 610-261-2056
  • Fax: 610-261-0456
Mailing address:
  • Phone: 610-261-2056
  • Fax: 610-261-0456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ARTHUR E BROWN
Title or Position: OWNER OPTICIAN
Credential:
Phone: 610-261-2056