Provider Demographics
NPI:1164020665
Name:BROWN, SEH MORRIS
Entity Type:Individual
Prefix:
First Name:SEH
Middle Name:MORRIS
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7655 WOODLAWN DR APT 305
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55112-4065
Mailing Address - Country:US
Mailing Address - Phone:215-934-8047
Mailing Address - Fax:
Practice Address - Street 1:7655 WOODLAWN DR APT 305
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55112-4065
Practice Address - Country:US
Practice Address - Phone:215-934-8047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care