Brown, Larry D

Brown, Larry D is an individual health care provider with primary practice located at 545 Valley View Dr , Moline IL 61265-6138. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brown, Larry D can be contacted via phone (309) 762-5560.

Contact Information

Primary practice address
545 Valley View Dr Moline IL 61265-6138
Phone: (309) 762-5560
Fax: (309) 762-7351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Illinois

Profile Details

NPI number 1518904788
LBN Legal business name Brown, Larry D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 16th, 2008 - about 16 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 1518904788 NPPES
Illinois Other P00341811 RAILROAD MEDICARE

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