Lee, Chung Seng

Lee, Chung Seng is an individual health care provider with primary practice located at 2622 Lake Ave , Fort Wayne IN 46805-5410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lee, Chung Seng can be contacted via phone (260) 425-3100.

Contact Information

Primary practice address
2622 Lake Ave Fort Wayne IN 46805-5410
Phone: (260) 425-3100
Fax: (260) 425-3604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01029687A Indiana

Profile Details

NPI number 1093718249
LBN Legal business name Lee, Chung Seng
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 13th, 2015 - about 11 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 1093718249 NPPES
Indiana MEDICAID 100055070
Indiana Other 110002008
Indiana MEDICAID 0480939

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