Clubb, Meredith Carter
Clubb, Meredith Carter is an individual health care provider with primary practice located at 6308 8Th Ave Ste 503, Kenosha WI 53143-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Clubb, Meredith Carter can be contacted via phone (262) 656-8213.Contact Information
Primary practice address
6308 8Th Ave Ste 503
Kenosha WI 53143-5031
Phone: (262) 656-8213
Fax: (262) 656-8233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0021639 | Wisconsin |
Profile Details
| NPI number | 1134150386 |
|---|---|
| LBN Legal business name | Clubb, Meredith Carter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Dec 11th, 2009 - about 15 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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