Lee, Shuishih Sage
Lee, Shuishih Sage is an individual health care provider with primary practice located at 2200 Randallia Dr , Ft Wayne IN 46805-4638. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Lee, Shuishih Sage can be contacted via phone (800) 899-5757.Contact Information
Primary practice address
2200 Randallia Dr
Ft Wayne IN 46805-4638
Phone: (800) 899-5757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01029326A | Indiana |
Profile Details
| NPI number | 1386628576 |
|---|---|
| LBN Legal business name | Lee, Shuishih Sage |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Sep 10th, 2008 - about 18 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 | 1386628576 | NPPES |
| Indiana | MEDICAID | 100364200 |
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