Provider Demographics
NPI:1306635305
Name:BROWN, PETER EMETH
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:EMETH
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 N 4TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-1300
Mailing Address - Country:US
Mailing Address - Phone:614-286-9791
Mailing Address - Fax:
Practice Address - Street 1:2100 N 4TH ST APT 1
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-1300
Practice Address - Country:US
Practice Address - Phone:614-286-9791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker