Brown, Clyde M
Brown, Clyde M is an individual health care provider with primary practice located at 3960 New Covington Pike , Memphis TN 38128-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brown, Clyde M can be contacted via phone (901) 516-5211.Contact Information
Primary practice address
3960 New Covington Pike
Memphis TN 38128-2504
Phone: (901) 516-5211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 29484 | Tennessee |
Profile Details
| NPI number | 1063414902 |
|---|---|
| LBN Legal business name | Brown, Clyde M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Apr 8th, 2016 - about 8 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 | 1063414902 | NPPES |
| Tennessee | MEDICAID | Q011982 |
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