Brown, Mark Frederick

Brown, Mark Frederick is an individual health care provider with primary practice located at 2508 Bert Kouns Industrial Loop Ste 310 , Shreveport LA 71118-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Brown, Mark Frederick can be contacted via phone (318) 212-5880.

Contact Information

Primary practice address
2508 Bert Kouns Industrial Loop Ste 310 Shreveport LA 71118-3154
Phone: (318) 212-5880
Fax: (318) 212-5885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 018087 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD.018087 Louisiana

Profile Details

NPI number 1689672032
LBN Legal business name Brown, Mark Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 21st, 2021 - about 5 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 1689672032 NPPES
Louisiana MEDICAID 1971961

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