Brown, Elsie
Brown, Elsie is an sole proprietor health care provider with primary practice located at 801 W Boulevard St , Marion IL 62959-1737. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Brown, Elsie can be contacted via phone (618) 922-8320.Contact Information
Primary practice address
801 W Boulevard St
Marion IL 62959-1737
Phone: (618) 922-8320
Fax: (618) 998-5883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | EB20880999P | Illinois |
Profile Details
| NPI number | 1720208762 |
|---|---|
| LBN Legal business name | Brown, Elsie |
| Credentials | CDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720208762 | NPPES |
| Illinois | Other | EB20880999P | EVALUATOR CREDENTIAL |
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