Donald, Willie Lee

Donald, Willie Lee is an individual health care provider with primary practice located at 100 Navarre Pl Ste 4410 , South Bend IN 46601-1171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Donald, Willie Lee can be contacted via phone (574) 647-1650.

Contact Information

Primary practice address
100 Navarre Pl Ste 4410 South Bend IN 46601-1171
Phone: (574) 647-1650
Fax: (574) 647-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 01053966A Indiana

Profile Details

NPI number 1225026669
LBN Legal business name Donald, Willie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Nov 30th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225026669 NPPES
Indiana Other 000000195250 BCBS BMG MFM
Indiana Other 000000857598 BCBS BMG MFM
Indiana MEDICAID 200318520 BCBS BMG MFM

Popular Providers