Dick, Mark Lee
Dick, Mark Lee is an individual health care provider with primary practice located at 10 Members Way Fl 5 , Dover NH 03820-5933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dick, Mark Lee can be contacted via phone (603) 609-6800.Contact Information
Primary practice address
10 Members Way Fl 5
Dover NH 03820-5933
Phone: (603) 609-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 106644 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17500 | New Hampshire |
Profile Details
| NPI number | 1003806084 |
|---|---|
| LBN Legal business name | Dick, Mark Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1003806084 | NPPES |
| New Hampshire | MEDICAID | 3105753 |
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