Thomas, David Lee
Thomas, David Lee is an sole proprietor health care provider with primary practice located at 871 Broad St , Summersville WV 26651-1756. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thomas, David Lee can be contacted via phone (304) 872-2771.Contact Information
Primary practice address
871 Broad St
Summersville WV 26651-1756
Phone: (304) 872-2771
Fax: (304) 872-2771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2445 | West Virginia |
Profile Details
| NPI number | 1073696308 |
|---|---|
| LBN Legal business name | Thomas, David Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Sep 27th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073696308 | NPPES |
| West Virginia | MEDICAID | 0136334000 |
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