Brown, Clarence W.

Brown, Clarence W. is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Brown, Clarence W. can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036096380 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2024 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036096380 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301093918 Michigan
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 4301093918 Michigan

Profile Details

NPI number 1386654390
LBN Legal business name Brown, Clarence W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 5th, 2022 - about 4 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 1386654390 NPPES
Illinois MEDICAID 0360963803
Illinois MEDICAID 1386654390
Illinois Other 911779986

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