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
Fax: (618) 988-6479
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548374887 NPPES
Illinois MEDICAID 016004890

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