Brown, Clark Edward
Brown, Clark Edward is an individual health care provider with primary practice located at 181309 N 2650 Rd , Walters OK 73572-3913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Brown, Clark Edward can be contacted via phone (580) 351-8315.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | GAAA-NJRV-HY5Z | Oklahoma |
Profile Details
| NPI number | 1316579022 |
|---|---|
| LBN Legal business name | Brown, Clark Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2020 |
| Last updated | Feb 11th, 2020 - about 4 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 | 1316579022 | NPPES |
| Oklahoma | Other | GAAA-NJRV-HY5Z | OMMA |
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