Individual
DOUGLAS R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
(330) 682-3075
(330) 682-7454
Mailing address
711 HOMESTEAD POINTE DR, ORRVILLE, OH 44667-9283
(330) 683-3966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34002356
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127743
ANTHEM
OH
01
—
000000180216
UNISON HEALTH PLAN
OH
01
—
020488800
FEDERAL BLACK LUNG
OH
05
—
0284697
—
OH
01
—
341131413B
AULTCARE
OH
01
—
560
SUMMACARE
OH
01
—
734829
BUCKEYE HEALTH PLAN
OH
01
—
Q012547A
HOMETOWN HEALTH PLAN
OH
Enumeration date
12/27/2005
Last updated
12/09/2013
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