Lee, Angie
Lee, Angie is an sole proprietor health care provider with primary practice located at 1220 Oak Park Dr Suite 110, Fort Collins CO 80525. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Lee, Angie can be contacted via phone (970) 999-5126.Contact Information
Primary practice address
1220 Oak Park Dr Suite 110
Fort Collins CO 80525
Phone: (970) 999-5126
Fax: (970) 999-5928
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 8277 | North Carolina |
Dental Providers / Dentist | 122300000X | 2901020133 | Michigan |
Dental Providers / Periodontics | 1223P0300X | DN1855725 | Massachusetts |
Dental Providers / Periodontics | 1223P0300X | DEN00201944 | Colorado |
Profile Details
NPI number | 1972656338 |
---|---|
LBN Legal business name | Lee, Angie |
Credentials | DMD, MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 19th, 2007 |
Last updated | Mar 4th, 2015 - about 10 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 | 1972656338 | NPPES |
North Carolina | MEDICAID | 5905031 |
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