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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1043300874 NPPES
California Other 00A407100 MEDICAID INDIVIDUAL
California MEDICAID GR0029520 MEDICAID INDIVIDUAL

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