Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35039059B | OH |
NPI | 1023129079 |
---|---|
Provider Name | Dr. Delorise Brown |
First Address | Cleveland, OH 44112-4348 |
Second Address | Cleveland, OH 44112-4348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 16/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004080259 | AETNA (01) | OH |
0403717 | UNITED HEALTHCARE (01) | OH |
0420315 | (05) | OH |
110212700 | RAILROAD MEDICARE (01) | OH |
140611 | ANTHEM OHIO (01) | OH |
34186002300 | OHIO BWC (01) | OH |
350477 | WELLCARE (01) | OH |
BR0462964 | (02) | OH |
C01648 | (02) | OH |