MEDICARE: MR. JOSEPH CHADWICK BROWN PT

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	225100000X	Physical Therapist	PT3035	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	582681044	OTHER	MS	TAX ID #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811063019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH CHADWICK BROWN PT

Provider Business Mailing Address
First Line	:	206B OXFORD RD
Second Line	:	PO BOX 44
City	:	NEW ALBANY
State	:	MS
Zip	:	38652-3115
Country	:	US
Telephone Number	:	662-534-4445
Fax Number	:	662-534-9449

Provider Business Practice Location Address
First Line	:	206B OXFORD RD
Second Line	:
City	:	NEW ALBANY
State	:	MS
Zip	:	38652-3115
Country	:	US
Telephone Number	:	662-534-4445
Fax Number	:	662-534-9449

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	03/26/2009

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