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
Phone: (973) 674-3500
Fax: (973) 678-6319
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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