Clark, Howard Brent

Clark, Howard Brent is an individual health care provider with primary practice located at University Of Minnesota Physicians 420 Delaware Street Se, 760 Mayo Memorial Building, Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuropathology, which is considered as his primary health care specialty. Clark, Howard Brent can be contacted via phone (612) 626-0622.

Contact Information

Primary practice address
University Of Minnesota Physicians 420 Delaware Street Se, 760 Mayo Memorial Building Minneapolis MN 55455
Phone: (612) 626-0622
Fax: (612) 626-2696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 33386 Minnesota

Profile Details

NPI number 1568490662
LBN Legal business name Clark, Howard Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 9th, 2007 - about 19 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 1568490662 NPPES
Minnesota Other 101350 UCARE
Minnesota MEDICAID 32008600 UCARE
Minnesota Other HP22280 UCARE
Minnesota Other 2T209CL UCARE
Minnesota Other 768064 UCARE
Minnesota Other 11-74537 UCARE
Minnesota MEDICAID 876505700 UCARE
Minnesota Other 1009073 UCARE
Minnesota Other 11-22542 UCARE

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