Clark-Brown, Ruth Lynne

Clark-Brown, Ruth Lynne is an sole proprietor health care provider with primary practice located at 240 Central Ave. , East Orange NJ 07018. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Clark-Brown, Ruth Lynne can be contacted via phone (973) 674-3500.

Contact Information

Primary practice address
240 Central Ave. East Orange NJ 07018
Fax: (973) 678-6319
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA56498 New Jersey
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MA56498 New Jersey

Profile Details

NPI number 1740349968
LBN Legal business name Clark-Brown, Ruth Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Mar 3rd, 2011 - about 13 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 1740349968 NPPES
New Jersey Other 135853 MEDICARE GROUP
New Jersey Other 280330501 MEDICARE GROUP
New Jersey MEDICAID 5069408 MEDICARE GROUP

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