NPI Search for Physicians and Health Care Providers
MR. JACOB BROWN
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1831616994
Individual Registrant:
MR. JACOB BROWN
Gender: M
Not Sole Proprietor
Location and contact information for practice:
630 DRAKE AVE SAUSALITO, CA 94965-1107 US
Tel: 415-993-9444 Fax: --
Contact information for business:
630 DRAKE AVE SAUSALITO, CA 94965-1107 US
Tel: 415-331-1220 Fax: --
Registration Information:
NPI: 1831616994
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 390200000X | Student Organized Health Care Education/Training Program
| | |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
CALIFORNIA DRIVERS LICENSE | A0901989 | CA | 01 |
HEALTH CARE JOBS CA - Page 1