Lee, Yu-Jin

Lee, Yu-Jin is an individual health care provider with primary practice located at 6215 E State St , Rockford IL 61108-2514. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lee, Yu-Jin can be contacted via phone (815) 399-7777.

Contact Information

Primary practice address
6215 E State St Rockford IL 61108-2514
Phone: (815) 399-7777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-026114 Illinois

Profile Details

NPI number 1427114875
LBN Legal business name Lee, Yu-Jin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1427114875 NPPES
Illinois MEDICAID 9177053

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