Adams, Van Lee

Adams, Van Lee is an individual health care provider with primary practice located at 204 Malloy Street Suite A, Goldsboro NC 27534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adams, Van Lee can be contacted via phone (919) 751-7665.

Contact Information

Primary practice address
204 Malloy Street Suite A Goldsboro NC 27534
Phone: (919) 751-7665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010-02058 North Carolina

Profile Details

NPI number 1588872964
LBN Legal business name Adams, Van Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 17th, 2013 - about 11 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 1588872964 NPPES
Ohio Other 310917085215 OHIO MEDICAID CARESOURCE
Ohio MEDICAID 3810015431 OHIO MEDICAID CARESOURCE
Ohio Other 000000287236 OHIO MEDICAID CARESOURCE
Ohio Other 2969588 OHIO MEDICAID CARESOURCE
Ohio Other P00767040 OHIO MEDICAID CARESOURCE
Ohio MEDICAID 2969588 OHIO MEDICAID CARESOURCE

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