Brown, Eddie Lorenzo

Brown, Eddie Lorenzo is an sole proprietor health care provider with primary practice located at 127 Dean Dr , Clarksville TN 37040-3981. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Brown, Eddie Lorenzo can be contacted via phone (931) 278-7408.

Contact Information

Primary practice address
127 Dean Dr Clarksville TN 37040-3981
Fax: (931) 906-9477
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1649604943
LBN Legal business name Brown, Eddie Lorenzo
Credentials DRIVER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2013
Last updated Aug 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 1649604943 NPPES
Tennessee MEDICAID 3051494

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