Elaine Brown

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Piqua, OH

NPI 1871912972 · NPPES record last updated Apr 16, 2014

Key facts

NPI
1871912972
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
04263 (OH)
Practice address
800 Antler CT
Piqua, OH 45356-5412
Phone
(937) 606-0694
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
04263OHMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 04263 OH Yes

Addresses

Primary practice location

800 Antler CT
Piqua, OH 45356-5412

Mailing address

800 Antler Court
Piqua, OH 45356

Other providers in Piqua, OH

All providers in Piqua, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.