Brown, Carl A.

Brown, Carl A. is an individual health care provider with primary practice located at 2211 Park Ave , Minneapolis MN 55404-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Brown, Carl A. can be contacted via phone (612) 871-1144.

Contact Information

Primary practice address
2211 Park Ave Minneapolis MN 55404-3711
Phone: (612) 871-1144
Fax: (612) 871-2012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 21488 Minnesota

Profile Details

NPI number 1558362749
LBN Legal business name Brown, Carl A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated May 22nd, 2013 - about 11 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 1558362749 NPPES
Wisconsin Other 32062600 MEDICAID - WISCONSIN
Wisconsin Other 10-01991 MEDICAID - WISCONSIN
Wisconsin Other 02094BR MEDICAID - WISCONSIN
Wisconsin Other 0962217 MEDICAID - WISCONSIN
Wisconsin Other 100643 MEDICAID - WISCONSIN
Wisconsin MEDICAID 009897300 MEDICAID - WISCONSIN
Wisconsin Other 88310 MEDICAID - WISCONSIN
Wisconsin Other 0002528 MEDICAID - WISCONSIN
Wisconsin Other 10-00010 MEDICAID - WISCONSIN

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