Lee, Robert W
Lee, Robert W is an sole proprietor health care provider with primary practice located at 9 Russell Dr Suite 201, Ellijay GA 30540-5573. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Lee, Robert W can be contacted via phone (706) 698-9679.Contact Information
Primary practice address
9 Russell Dr Suite 201
Ellijay GA 30540-5573
Phone: (706) 698-9679
Fax: (706) 698-9678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIRO05113 | Georgia |
| Chiropractic Providers / Rehabilitation | 111NR0400X | CHIRO05113 | Georgia |
Profile Details
| NPI number | 1124128293 |
|---|---|
| LBN Legal business name | Lee, Robert W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jun 18th, 2018 - about 8 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 | 1124128293 | NPPES |
| Georgia | Other | 202G700756 | MEDICARE PTAN |
| Georgia | Other | CHIRO05113 | MEDICARE PTAN |
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