Brown, Michael Clay

Brown, Michael Clay is an individual health care provider with primary practice located at 4600 Memorial Dr Ste W1 , Belleville IL 62226-5359. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Brown, Michael Clay can be contacted via phone (618) 233-3066.

Contact Information

Primary practice address
4600 Memorial Dr Ste W1 Belleville IL 62226-5359
Phone: (618) 233-3066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C0935 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48945 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036168048 Illinois

Profile Details

NPI number 1386817468
LBN Legal business name Brown, Michael Clay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Apr 2nd, 2024 - about 7 months 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 1386817468 NPPES
Tennessee Other 4338888 BLUECROSS BLUESHIELD
Tennessee MEDICAID 1530355 BLUECROSS BLUESHIELD
Tennessee MEDICAID 7100219570 BLUECROSS BLUESHIELD

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