Lee, Matthew

Lee, Matthew is an individual health care provider with primary practice located at 1300 Anne St Nw , Bemidji MN 56601-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lee, Matthew can be contacted via phone (218) 333-5283.

Contact Information

Primary practice address
1300 Anne St Nw Bemidji MN 56601-5103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00048784 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 52683 Minnesota

Profile Details

NPI number 1326278573
LBN Legal business name Lee, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2009
Last updated Jul 21st, 2022 - about 4 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 1326278573 NPPES
Minnesota MEDICAID 1780628149

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