Provider Demographics
NPI:1821835273
Name:BROWN, EDDIE III
Entity type:Individual
Prefix:MR
First Name:EDDIE
Middle Name:
Last Name:BROWN
Suffix:III
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 1:1029 TIMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1554
Mailing Address - Country:US
Mailing Address - Phone:513-520-8297
Mailing Address - Fax:
Practice Address - Street 1:1029 TIMBERLAND DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1554
Practice Address - Country:US
Practice Address - Phone:513-520-8297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care