MEDICARE: JAMESIEA W BROWN

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	343900000X	Non-emergency Medical Transport (VAN)		OH

General Provider Information

NPI Number	:	1871289736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMESIEA W BROWN

Provider Business Mailing Address
First Line	:	1152 ADDISON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1510
Country	:	US
Telephone Number	:	216-374-2466
Fax Number	:

Provider Business Practice Location Address
First Line	:	1152 ADDISON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1510
Country	:	US
Telephone Number	:	216-374-2466
Fax Number	:

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

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	04/13/2023

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