Eric Stuart Brown Sr.

Individual provider Active NPI Driver · Chesterfield, VA

NPI 1871136713 · NPPES record last updated Oct 23, 2019

Key facts

NPI
1871136713
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
6915 Windy Creek Ter
Chesterfield, VA 23832-9294
Phone
(804) 366-9199
NPI assigned
Oct 23, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver
Group: 193400000X SINGLE SPECIALTY GROUP
172A00000X Yes

Addresses

Primary practice location

6915 Windy Creek Ter
Chesterfield, VA 23832-9294

Mailing address

6915 Windy Creek Ter
Chesterfield, VA 23832-9294
Phone (804) 366-9199

Other providers in Chesterfield, VA

All providers in Chesterfield, VA · Driver in Virginia

Sources for this page

Verify at the official NPI Registry.