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NPI Code Detail

MEDICARE: MR. DAN C BROWN MSW

MEDICARE: MR. DAN C BROWN MSW
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
11041C0700XClinical Social Worker34003239AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346248820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAN C BROWN MSW
Provider Business Mailing Address
First Line : 9615 E 148TH ST
Second Line : SUITE 1
City : NOBLESVILLE
State : IN
Zip : 46060-4360
Country : US
Telephone Number : 317-587-0500
Fax Number : 317-674-0059
Provider Business Practice Location Address
First Line : 2506 WILLOWBROOK PKWY
Second Line : SUITE 300
City : INDIANAPOLIS
State : IN
Zip : 46205-1564
Country : US
Telephone Number : 317-257-3903
Fax Number : 317-674-0059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 05/11/2011

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