Brown, Daniel R
Brown, Daniel R is an sole proprietor health care provider with primary practice located at 101 N 16Th Street , Herrin IL 62948. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brown, Daniel R can be contacted via phone (618) 988-6034.Contact Information
Primary practice address
101 N 16Th Street
Herrin IL 62948
Phone: (618) 988-6034
Fax: (618) 988-6479
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016004890 | Illinois |
Profile Details
NPI number | 1548374887 |
---|---|
LBN Legal business name | Brown, Daniel R |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 17th, 2006 |
Last updated | Aug 18th, 2008 - about 16 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 | 1548374887 | NPPES |
Illinois | MEDICAID | 016004890 |
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