Lee, Mamie Lucile

Lee, Mamie Lucile is an sole proprietor health care provider with primary practice located at 2415 Weaver St , Dayton OH 45408-2455. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Lee, Mamie Lucile can be contacted via phone (937) 262-8482.

Contact Information

Primary practice address
2415 Weaver St Dayton OH 45408-2455
Phone: (937) 262-8482
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1821206947
LBN Legal business name Lee, Mamie Lucile
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
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 1821206947 NPPES
Ohio MEDICAID 2569804

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