Provider Demographics
NPI:1962572693
Name:WILLIAM P. BROWN, D.C., INC.
Entity type:Organization
Organization Name:WILLIAM P. BROWN, D.C., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-874-0405
Mailing Address - Street 1:13003 ECKEL JUNCTION RD STE 105
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-7633
Mailing Address - Country:US
Mailing Address - Phone:419-874-0405
Mailing Address - Fax:419-874-0427
Practice Address - Street 1:13003 ECKEL JUNCTION RD STE 105
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551
Practice Address - Country:US
Practice Address - Phone:419-874-0405
Practice Address - Fax:419-874-0427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND5349505OtherAETNA
OH274800180005OtherMEDICAL MUTUAL OF OHIO
OH0125993Medicaid
OH157124227OtherPPOM
OH725885OtherFAMILY HEALTH PLAN
OH2580173OtherCIGNA
OH000000193661OtherANTHEM
OH157124227OtherPPOM
OH274800180005OtherMEDICAL MUTUAL OF OHIO
OHBRO823442Medicare PIN
OH000000193661OtherANTHEM