Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC-1900 | PA |
NPI | 1356380463 |
---|---|
Provider Name | Dr. Thomas W Brown |
First Address | Quakertown, PA 18951-3910 |
Second Address | Quakertown, PA 18951-3910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 08/07/2007 |