Lee, John Patrick

Lee, John Patrick is an sole proprietor health care provider with primary practice located at 110 Broad St N , Prescott WI 54021-1702. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, John Patrick can be contacted via phone (715) 262-1112.

Contact Information

Primary practice address
110 Broad St N Prescott WI 54021-1702
Phone: (715) 262-1112
Fax: (715) 262-1112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2763-035 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 2745 Minnesota

Profile Details

NPI number 1063517399
LBN Legal business name Lee, John Patrick
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063517399 NPPES
Wisconsin MEDICAID 38618900

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