Provider Demographics
NPI:1598864027
Name:STEPHANIE G. BROWN
Entity Type:Organization
Organization Name:STEPHANIE G. BROWN
Other - Org Name:MOBILITY PLUS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-364-0023
Mailing Address - Street 1:570 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3353
Mailing Address - Country:US
Mailing Address - Phone:413-732-1142
Mailing Address - Fax:413-732-1153
Practice Address - Street 1:570 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3354
Practice Address - Country:US
Practice Address - Phone:413-732-1142
Practice Address - Fax:413-732-1152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5032430001Medicare NSC