Brown, Willie Lee
Brown, Willie Lee is an individual health care provider with primary practice located at 6225 N Fresno St Ste 104, Fresno CA 93710-5268. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Brown, Willie Lee can be contacted via phone (559) 265-4444.Contact Information
Primary practice address
6225 N Fresno St Ste 104
Fresno CA 93710-5268
Phone: (559) 265-4444
Fax: (559) 265-4454
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A40710 | California |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | A40710 | California |
Profile Details
NPI number | 1043300874 |
---|---|
LBN Legal business name | Brown, Willie Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Feb 7th, 2024 - about 10 months 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 | 1043300874 | NPPES |
California | Other | 00A407100 | MEDICAID INDIVIDUAL |
California | MEDICAID | GR0029520 | MEDICAID INDIVIDUAL |
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