Lee, Jangwoo
Lee, Jangwoo is an individual health care provider with primary practice located at 101 W Market And Center St Thompson Bldg, Ste 311, Pottsville PA 17901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lee, Jangwoo can be contacted via phone (570) 628-5625.Contact Information
Primary practice address
101 W Market And Center St Thompson Bldg, Ste 311
Pottsville PA 17901
Phone: (570) 628-5625
Fax: (570) 628-0393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD033378L | Pennsylvania |
Profile Details
| NPI number | 1346241270 |
|---|---|
| LBN Legal business name | Lee, Jangwoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1346241270 | NPPES |
| Pennsylvania | Other | 15969 | GEISINGER |
| Pennsylvania | MEDICAID | 0006087630001 | GEISINGER |
| Pennsylvania | Other | 02337000 | GEISINGER |
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