Lee, Thomas Martin

Lee, Thomas Martin is an individual health care provider with primary practice located at 400 Pilgrim Blvd , Hartford City IN 47348-1382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lee, Thomas Martin can be contacted via phone (765) 348-5776.

Contact Information

Primary practice address
400 Pilgrim Blvd Hartford City IN 47348-1382
Phone: (765) 348-5776
Fax: (765) 348-3088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01030229 Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01030229A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01030229A Indiana

Profile Details

NPI number 1487606083
LBN Legal business name Lee, Thomas Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 22nd, 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 1487606083 NPPES
Indiana Other P00049764 RR MEDICARE
Indiana Other P00968556 RR MEDICARE
Indiana MEDICAID 100059570 RR MEDICARE

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