Edelstein, Lee Wichner
Edelstein, Lee Wichner is an sole proprietor health care provider with primary practice located at 305 W Central Ave , Lake Wales FL 33853-4015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Edelstein, Lee Wichner can be contacted via phone (866) 234-8534.Contact Information
Primary practice address
305 W Central Ave
Lake Wales FL 33853-4015
Phone: (866) 234-8534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME75376 | Florida |
Profile Details
| NPI number | 1629056536 |
|---|---|
| LBN Legal business name | Edelstein, Lee Wichner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Sep 14th, 2022 - about 4 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 | 1629056536 | NPPES |
| Florida | MEDICAID | 254527600 |
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