Brown, Larry Dale

Brown, Larry Dale is an individual health care provider with primary practice located at 250 State Farm Pkwy , Birmingham AL 35209-7181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Brown, Larry Dale can be contacted via phone (205) 943-4600.

Contact Information

Primary practice address
250 State Farm Pkwy Birmingham AL 35209-7181
Fax: (205) 943-4660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD.27550 Alabama

Profile Details

NPI number 1124114863
LBN Legal business name Brown, Larry Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 18th, 2024 - about last year

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 1124114863 NPPES
Alabama Other 51140447 BC

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