Brown, Willie Lee
Brown, Willie Lee is an sole proprietor health care provider with primary practice located at 600 Crawford St Suite P-D, Portsmouth VA 23704-3820. He recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Hospice Care, Community Based, Agencies / In Home Supportive Care. Agencies / Home Health is his primary health care specialty. Brown, Willie Lee can be contacted via phone (757) 393-0660.Contact Information
Primary practice address
600 Crawford St Suite P-D
Portsmouth VA 23704-3820
Phone: (757) 393-0660
Fax: (757) 393-0667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 35674 | Virginia |
| Agencies / Hospice Care, Community Based | 251G00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1548415193 |
|---|---|
| LBN Legal business name | Brown, Willie Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2008 |
| Last updated | Nov 24th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548415193 | NPPES |
| Virginia | MEDICAID | 30-0260056 |
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