Individual
JASON D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1801 N SENATE BLVD, STE 755, INDIANAPOLIS, IN 46202-1228
(317) 962-5888
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000787A
IN
363A00000X
Physician Assistant
99017012A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386766
BCBS
IN
01
—
066899
SIHO
IN
01
—
Q0244502
RRMC
IN
Enumeration date
03/23/2006
Last updated
02/15/2022
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