Brown, Clarence W.
Brown, Clarence W. is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Brown, Clarence W. can be contacted via phone (608) 782-7300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036096380 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2024 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036096380 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301093918 | Michigan |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 4301093918 | Michigan |
Profile Details
| NPI number | 1386654390 |
|---|---|
| LBN Legal business name | Brown, Clarence W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 5th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386654390 | NPPES |
| Illinois | MEDICAID | 0360963803 | |
| Illinois | MEDICAID | 1386654390 | |
| Illinois | Other | 911779986 |
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