Provider Demographics
NPI:1831636190
Name:BROWN, PHILIP RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:RICHARD
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 GLOUCESTER CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4216
Mailing Address - Country:US
Mailing Address - Phone:772-633-5417
Mailing Address - Fax:
Practice Address - Street 1:421 E MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1463
Practice Address - Country:US
Practice Address - Phone:302-376-5830
Practice Address - Fax:302-376-6517
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12059111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor