Provider Demographics
NPI:1841803939
Name:BROWN, SOCHILT (BS)
Entity Type:Individual
Prefix:
First Name:SOCHILT
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40611 N SHADOW CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1853
Mailing Address - Country:US
Mailing Address - Phone:602-810-5493
Mailing Address - Fax:
Practice Address - Street 1:41810 N VENTURE DR STE 152
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-3169
Practice Address - Country:US
Practice Address - Phone:602-810-5493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory