Lee, David J

Lee, David J is an individual health care provider with primary practice located at 2325 18Th St Ste 220 , Columbus IN 47201-5389. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lee, David J can be contacted via phone (812) 376-5640.

Contact Information

Primary practice address
2325 18Th St Ste 220 Columbus IN 47201-5389
Phone: (812) 376-5640
Fax: (812) 376-5641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01053942A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01053942A Indiana

Profile Details

NPI number 1376657841
LBN Legal business name Lee, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jan 20th, 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 1376657841 NPPES
Indiana MEDICAID 200330190A

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