Brown, Shakeela
Brown, Shakeela is an individual health care provider with primary practice located at 1016 S Madison St , Du Quoin IL 62832-2442. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Brown, Shakeela can be contacted via phone (618) 542-4357.Contact Information
Primary practice address
1016 S Madison St
Du Quoin IL 62832-2442
Phone: (618) 542-4357
Fax: (618) 542-3442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X |
Profile Details
| NPI number | 1104331537 |
|---|---|
| LBN Legal business name | Brown, Shakeela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2017 |
| Last updated | Dec 7th, 2017 - about 8 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 | 1104331537 | NPPES |
| Illinois | MEDICAID | 376130900001 |
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