Lee, Jonathan

Lee, Jonathan is an sole proprietor health care provider with primary practice located at 1310 W A St 102, Moscow ID 83843-4035. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Lee, Jonathan can be contacted via phone (818) 331-5990.

Contact Information

Primary practice address
1310 W A St 102 Moscow ID 83843-4035
Phone: (818) 331-5990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1174057657
LBN Legal business name Lee, Jonathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2017
Last updated Apr 12th, 2017 - about 9 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.

Request for update

Popular Providers