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Contact Information

JAY BROWN, CADAC II
203 N STATE ST
NORTH VERNON, IN47265-2454
 Phone: 812-200-2714
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JAY BROWN · (Male)

NPI # 1003387127
Status Active
Credentials CADAC II
Entity Individual
Enumeration date 12/16/2018
Last updated 12/16/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # CII2134
  • IN Medicaid CII2134
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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