Brown, Richelle Lee

Brown, Richelle Lee is an individual health care provider with primary practice located at 3805 Lockport Olcott Rd , Lockport NY 14094-1128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brown, Richelle Lee can be contacted via phone (716) 439-4248.

Contact Information

Primary practice address
3805 Lockport Olcott Rd Lockport NY 14094-1128
Fax: (716) 439-4838
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 021929 New York

Profile Details

NPI number 1063916328
LBN Legal business name Brown, Richelle Lee
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Nov 14th, 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 1063916328 NPPES
New York MEDICAID 02383255

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