Lee, Sun Ik

Lee, Sun Ik is an sole proprietor health care provider with primary practice located at 4016 Dale Rd , Modesto CA 95356-9268. He recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Lee, Sun Ik can be contacted via phone (209) 571-0288.

Contact Information

Primary practice address
4016 Dale Rd Modesto CA 95356-9268
Phone: (209) 571-0288
Fax: (209) 571-0327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X MD. 203337 Louisiana
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A140655 California
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 27123 Nebraska

Profile Details

NPI number 1376804757
LBN Legal business name Lee, Sun Ik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2012
Last updated Nov 8th, 2023 - about 3 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 1376804757 NPPES
Nebraska MEDICAID 1437184652

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