Lee, Alan

Lee, Alan is an sole proprietor health care provider with primary practice located at 1320 Maplewood Ave Ste A , Ronceverte WV 24970-8016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lee, Alan can be contacted via phone (304) 647-1175.

Contact Information

Primary practice address
1320 Maplewood Ave Ste A Ronceverte WV 24970-8016
Phone: (304) 647-1175
Fax: (304) 647-3807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1243 West Virginia

Profile Details

NPI number 1629096193
LBN Legal business name Lee, Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Nov 16th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629096193 NPPES
West Virginia MEDICAID 004303000
West Virginia Other 020022430
West Virginia Other 350033
West Virginia Other 60015
West Virginia Other 282380
West Virginia Other 026
West Virginia Other 4502219
West Virginia Other 406972002

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