Lee, Keat-Jin
Lee, Keat-Jin is an individual health care provider with primary practice located at 1 Long Wharf Dr Suite 302, New Haven CT 06511-5991. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Lee, Keat-Jin can be contacted via phone (203) 777-4005.Contact Information
Primary practice address
1 Long Wharf Dr Suite 302
New Haven CT 06511-5991
Phone: (203) 777-4005
Fax: (203) 776-7741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 015233 | Connecticut |
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 015233 | Connecticut |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 015233 | Connecticut |
Profile Details
| NPI number | 1891716502 |
|---|---|
| LBN Legal business name | Lee, Keat-Jin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 2nd, 2009 - about 17 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 | 1891716502 | NPPES |
| Connecticut | MEDICAID | 001152339 | |
| Connecticut | Other | 041069592 |
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