Provider Demographics
NPI:1497442065
Name:BROWN, CHAD AARON
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:AARON
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 1:26276 HEIER CT
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:MI
Mailing Address - Zip Code:48134-1525
Mailing Address - Country:US
Mailing Address - Phone:734-365-2454
Mailing Address - Fax:
Practice Address - Street 1:26276 HEIER CT
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:MI
Practice Address - Zip Code:48134-1525
Practice Address - Country:US
Practice Address - Phone:734-365-2454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI242300187171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications