Brunson, Clarence Jaron

Brunson, Clarence Jaron is an individual health care provider with primary practice located at 132 5Th Ave W Ste 1And2 , Jerome ID 83338-1825. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery, Chiropractic Providers / Chiropractor. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Brunson, Clarence Jaron can be contacted via phone (208) 814-9800.

Contact Information

Primary practice address
132 5Th Ave W Ste 1And2 Jerome ID 83338-1825
Phone: (208) 814-9800
Fax: (208) 933-9648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-13372 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X M-13372 Idaho
Chiropractic Providers / Chiropractor 111N00000X 6254 Colorado

Profile Details

NPI number 1851556229
LBN Legal business name Brunson, Clarence Jaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated May 6th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851556229 NPPES
Idaho MEDICAID 1851556229

Popular Providers