Lee, Wha Joon

Lee, Wha Joon is an individual health care provider with primary practice located at 4000 Medical Pkwy , Greenville TX 75401-7854. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lee, Wha Joon can be contacted via phone (903) 454-6481.

Contact Information

Primary practice address
4000 Medical Pkwy Greenville TX 75401-7854
Fax: (903) 454-6486
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X N3136 Texas

Profile Details

NPI number 1609870534
LBN Legal business name Lee, Wha Joon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 15th, 2010 - about 16 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 1609870534 NPPES
Other P00107003 RR MEDICARE
Other 78842 RR MEDICARE
Other P00085272 RR MEDICARE
MEDICAID 204632801 RR MEDICARE
Other ME87364 RR MEDICARE
MEDICAID 268207900 RR MEDICARE

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