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Contact Information

RAYSHONN J BROWN
57 INDUSTRIAL PARK RD
LUCEDALE, MS39452-6583
 Phone: 601-947-4274
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for RAYSHONN J BROWN · (Male)

NPI Number 1851905681
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2020
Last updated 08/31/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MS Medicaid 00018214
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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