Brooks, Clyde L

Brooks, Clyde L is an individual health care provider with primary practice located at 521 Moye Blvd Ecu Physicians, Greenville NC 27834-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brooks, Clyde L can be contacted via phone (252) 744-3229.

Contact Information

Primary practice address
521 Moye Blvd Ecu Physicians Greenville NC 27834-4300
Phone: (252) 744-3229
Fax: (252) 744-3924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32224 North Carolina

Profile Details

NPI number 1912904129
LBN Legal business name Brooks, Clyde L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912904129 NPPES
North Carolina MEDICAID 8911605
North Carolina Other 110176310
North Carolina Other 11605

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