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JACOB BROWN MHPP
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1124315122
Individual Registrant: JACOB BROWN MHPP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
736 MARTIN ST PRESCOTT, AR 71857-2749 US
Tel: 870-887-9000 Fax: 870-887-9001
Tel: 870-887-9000 Fax: 870-887-9001
Contact information for business:
829 HALBERT ST MALVERN, AR 72104-2607 US
Tel: 501-332-4400 Fax: 501-332-4403
Tel: 501-332-4400 Fax: 501-332-4403
Registration Information:
NPI: 1124315122
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
