Congleton, Lee

Congleton, Lee is an individual health care provider with primary practice located at 7557 Dannaher Dr Ste 230 , Powell TN 37849-3563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Congleton, Lee can be contacted via phone (865) 938-5222.

Contact Information

Primary practice address
7557 Dannaher Dr Ste 230 Powell TN 37849-3563
Fax: (865) 938-5264
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000020494 Tennessee

Profile Details

NPI number 1699775718
LBN Legal business name Congleton, Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 2nd, 2017 - about 7 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 1699775718 NPPES
Tennessee Other 020253199 EEOICP
Tennessee Other 3106070 EEOICP
Tennessee Other 1669416442 EEOICP
Tennessee Other CI2260 EEOICP
Tennessee MEDICAID 3052785 EEOICP
Tennessee Other 3106079 EEOICP

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