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Individual
DR. REBECCA BROWN
Active
Individual
DR. REBECCA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR822
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037903
BLUECROSSBLUESHIELDANTHEM
ME
01
—
2265916
AETNA
ME
01
—
MM5922
MEDICARE PTAN
—
Enumeration date
06/10/2005
Last updated
03/17/2017
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