Clarke, Brian
Clarke, Brian is an individual health care provider with primary practice located at 20 Medical Village Dr Ste 132 , Edgewood KY 41017-5406. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Clarke, Brian can be contacted via phone (859) 578-5880.Contact Information
Primary practice address
20 Medical Village Dr Ste 132
Edgewood KY 41017-5406
Phone: (859) 578-5880
Fax: (859) 578-5881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 57309 | Kentucky |
Profile Details
| NPI number | 1366804536 |
|---|---|
| LBN Legal business name | Clarke, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2016 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366804536 | NPPES |
| Kentucky | Other | 57309 | MEDICAL LICENSE |
| Kentucky | Other | 21718 | MEDICAL LICENSE |
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