Griffin, Donald Lee

Griffin, Donald Lee is an sole proprietor health care provider with primary practice located at 14410 Route 37 , Johnston City IL 62951-3166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Griffin, Donald Lee can be contacted via phone (618) 937-6409.

Contact Information

Primary practice address
14410 Route 37 Johnston City IL 62951-3166
Phone: (618) 937-6409
Fax: (618) 937-1619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036039250 Illinois

Profile Details

NPI number 1396738878
LBN Legal business name Griffin, Donald Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Oct 3rd, 2011 - about 13 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 1396738878 NPPES
Other 102539 BLACK LUNG
Other 134108 BLACK LUNG
Other 14D0685380 BLACK LUNG
Other 0065382 BLACK LUNG
MEDICAID 036039250 BLACK LUNG
Other 0280004028 BLACK LUNG
Other 133163200 BLACK LUNG
Other 028221 BLACK LUNG

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