Brown, Jeffrey Lincoln
Brown, Jeffrey Lincoln is an individual health care provider with primary practice located at 375 N Wall St Ste P420 , Kankakee IL 60901-3406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brown, Jeffrey Lincoln can be contacted via phone (815) 932-0911.Contact Information
Primary practice address
375 N Wall St Ste P420
Kankakee IL 60901-3406
Phone: (815) 932-0911
Fax: (815) 932-0631
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036141836 | Illinois |
Profile Details
NPI number | 1629092937 |
---|---|
LBN Legal business name | Brown, Jeffrey Lincoln |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2006 |
Last updated | Aug 29th, 2019 - about 5 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 | 1629092937 | NPPES |
Illinois | MEDICAID | 036141836 |
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