Lee, Jesse G
Lee, Jesse G is an individual health care provider with primary practice located at 210 N Ellis Ave , Dunn NC 28334-3807. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, Jesse G can be contacted via phone (910) 892-2137.Contact Information
Primary practice address
210 N Ellis Ave
Dunn NC 28334-3807
Phone: (910) 892-2137
Fax: (910) 892-2546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3472 | North Carolina |
Profile Details
| NPI number | 1821026907 |
|---|---|
| LBN Legal business name | Lee, Jesse G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| 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 | 1821026907 | NPPES |
| North Carolina | Other | 95206 | BCBS |
| North Carolina | MEDICAID | 8995206 | BCBS |
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