Ivan L Brown
Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut
1013430016- Practice location
- 159 Trout Avenue, Subase New London, Groton, CT 06340
- Phone
- 847-254-3904
- Fax
- —
- Last updated
- July 21, 2017
Ivan Leavitt Brown is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. Ivan Leavitt Brown practices in Groton, CT. The NPI Number for Ivan Leavitt Brown is 1013430016. The current practice location address for Ivan Leavitt Brown is 159 Trout Avenue, Subase New London, Groton, CT 06340 and can be reached out via phone at 847-254-3904.
Provider Profile Details
- NPI Number
- 1013430016
- Provider Name
- Ivan Leavitt Brown
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 159 Trout Avenue, Subase New London, Groton, CT 06340
- Phone Number
- 847-254-3904
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 21, 2017
- Last Update Date
- July 21, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Trout Avenue
Subase New London
Groton, CT 06340 - City
- Groton
- State
- Connecticut
- Zip
- 06340
- Phone Number
- 847-254-3904
Provider Business Mailing Address Details
- Address
- 235 Charter Oak Dr
Groton, CT 06340-2934 - City
- Groton
- State
- CT
- Zip
- 06340-2934
- Phone Number
- 847-254-3904
License Information
- Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Military Health Care Provider, Independent Duty Corpsman providers near Groton, CT
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Frequently Asked Questions
What is the NPI number of Ivan L Brown?
The NPI number of Ivan L Brown is 1013430016. It was assigned on July 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Ivan L Brown?
Ivan L Brown is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).
Where does Ivan L Brown practice?
The practice location is 159 Trout Avenue, Subase New London, Groton, CT 06340. The office can be reached at 847-254-3904 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013430016 directly on the NPPES registry website.