Lee, Rowdy Chance

Lee, Rowdy Chance is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Lee, Rowdy Chance can be contacted via phone (601) 984-5153.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00186 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA976 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Mississippi
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X T-4299 Mississippi

Profile Details

NPI number 1063848075
LBN Legal business name Lee, Rowdy Chance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2013
Last updated Jul 21st, 2021 - about 5 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 1063848075 NPPES
Mississippi MEDICAID 04402871

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