Le, Chris
Le, Chris is an sole proprietor health care provider with primary practice located at 4565 Us Highway 17 Ste 200 , Fleming Island FL 32003-4823. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Le, Chris can be contacted via phone (904) 634-0640.Contact Information
Primary practice address
4565 Us Highway 17 Ste 200
Fleming Island FL 32003-4823
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9114922 | Florida |
Profile Details
| NPI number | 1154083533 |
|---|---|
| LBN Legal business name | Le, Chris |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2021 |
| Last updated | Jul 28th, 2025 - about last year |
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 | 1154083533 | NPPES |
| Florida | MEDICAID | 116273800 |
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