Dunn, Clarence

Dunn, Clarence is an sole proprietor health care provider with primary practice located at 302 Mcmillan Rd , West Monroe LA 71291-5324. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dunn, Clarence can be contacted via phone (318) 322-2202.

Contact Information

Primary practice address
302 Mcmillan Rd West Monroe LA 71291-5324
Phone: (318) 322-2202
Fax: (318) 322-9949
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021090 Louisiana

Profile Details

NPI number 1770673568
LBN Legal business name Dunn, Clarence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Feb 2nd, 2012 - 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 1770673568 NPPES
Louisiana Other 721480315 FEDERAL TAX ID
Louisiana Other 100015461 FEDERAL TAX ID
Louisiana MEDICAID 1672513 FEDERAL TAX ID

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