Provider Demographics
NPI:1053447524
Name:BROWN, DENNIS BROWN (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS BROWN
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-1441
Mailing Address - Country:US
Mailing Address - Phone:732-872-8009
Mailing Address - Fax:732-872-7850
Practice Address - Street 1:61 MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-1441
Practice Address - Country:US
Practice Address - Phone:732-872-8009
Practice Address - Fax:732-872-7850
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00497300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor