Black-Lee, Katherine E

Black-Lee, Katherine E is an sole proprietor health care provider with primary practice located at 145 Durham Rd , Madison CT 06443-2674. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Black-Lee, Katherine E can be contacted via phone (203) 245-4216.

Contact Information

Primary practice address
145 Durham Rd Madison CT 06443-2674
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P000360 Connecticut

Profile Details

NPI number 1154415438
LBN Legal business name Black-Lee, Katherine E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1154415438 NPPES
Connecticut Other P000360 LICENSE (DPM)

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