Supitilov, Lee

Supitilov, Lee is an individual health care provider with primary practice located at 3797 Osage Beach Pkwy , Osage Beach MO 65065-2186. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Supitilov, Lee can be contacted via phone (573) 302-0340.

Contact Information

Primary practice address
3797 Osage Beach Pkwy Osage Beach MO 65065-2186
Fax: (573) 302-0393
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2016039127 Missouri

Profile Details

NPI number 1174058606
LBN Legal business name Supitilov, Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2017
Last updated Apr 21st, 2017 - about 8 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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