Brown, Willie Lee

Brown, Willie Lee is an sole proprietor health care provider with primary practice located at 3700 N Belt W , Belleville IL 62226-5629. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Brown, Willie Lee can be contacted via phone (618) 236-2207.

Contact Information

Primary practice address
3700 N Belt W Belleville IL 62226-5629
Phone: (618) 236-2207
Fax: (618) 236-2377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 2004030548 Missouri
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016.004243 Illinois

Profile Details

NPI number 1447392972
LBN Legal business name Brown, Willie Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jun 29th, 2022 - about 3 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 1447392972 NPPES
Missouri Other 2004030548 MISSOURI LICENSE NO.
Missouri Other 0060101305 MISSOURI LICENSE NO.
Missouri Other 016.004243 MISSOURI LICENSE NO.
Missouri MEDICAID 016004243 MISSOURI LICENSE NO.
Missouri MEDICAID 303052401 MISSOURI LICENSE NO.

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