Individual
JACOB A BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2227 GREENLAWN DR, DELAWARE, OH 43015-1302
(614) 623-3880
Mailing address
2227 GREENLAWN DR, DELAWARE, OH 43015-1302
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005864
OH
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
09/12/2017
Last updated
10/15/2019
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