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
Fax: (815) 932-0631
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629092937 NPPES
Illinois MEDICAID 036141836

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