Lee, John Martin

Lee, John Martin is an individual health care provider with primary practice located at 1542 Medical Park Cir , Tupelo MS 38801-6560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lee, John Martin can be contacted via phone (662) 844-4711.

Contact Information

Primary practice address
1542 Medical Park Cir Tupelo MS 38801-6560
Phone: (662) 844-4711
Fax: (662) 844-9619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 10710 Mississippi

Profile Details

NPI number 1205806155
LBN Legal business name Lee, John Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jun 30th, 2008 - about 18 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 1205806155 NPPES
Mississippi MEDICAID 00010520
Mississippi Other 0114538
Mississippi Other 10710
Mississippi MEDICAID 009002820
Mississippi Other 73012088

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