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Contact Information

BRYCE BROWN
209 9TH ST STE 201
ROCKFORD, IL61104-2235
 Phone: 779-696-4590
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for BRYCE BROWN · (Male)

NPI Number 1871057034
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2019
Last updated 08/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 070026766
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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