Individual
DR. ANGELIQUE D BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6111 HARRISON ST, SUITE 331, MERRILLVILLE, IN 46410-2969
(219) 887-1340
(219) 887-1518
Mailing address
8777 BROADWAY, SUITE 331, MERRILLVILLE, IN 46410-6693
(219) 738-3854
(219) 738-3864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045570A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045570A
PHYSICIAN'S LICENSE #
IN
01
—
01045570B
CONTROLLED SUBSTANCE #
IN
01
—
15D0938335
CLIA #
IN
05
—
200098750B
—
IN
01
—
207Q0000X
TAXONOMY CODE
IN
Enumeration date
01/26/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us