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Contact Information

DANIEL R BROWN
101 N 16TH STREET
HERRIN, IL62948
 Phone: 618-988-6034
 Fax: 618-988-6479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DANIEL R BROWN · (Male)

NPI # 1548374887
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2006
Last updated 08/18/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016004890
  • IL Medicaid 016004890
Hospital affiliation(s)
  • HARRISBURG MEDICAL CENTER - (Acute Care)
    100 DOCTOR WARREN TUTTLE DR
    HARRISBURG, IL 62946
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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