Lee, Carl Wesley
Lee, Carl Wesley is an individual health care provider with primary practice located at 19 Wolf Creek Dr Dept Otolaryngology, Swansea IL 62226-2355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lee, Carl Wesley can be contacted via phone (618) 235-3687.Contact Information
Primary practice address
19 Wolf Creek Dr Dept Otolaryngology
Swansea IL 62226-2355
Phone: (618) 235-3687
Fax: (618) 239-9492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036095348 | Illinois |
Profile Details
| NPI number | 1649273319 |
|---|---|
| LBN Legal business name | Lee, Carl Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Nov 15th, 2021 - about 3 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 | 1649273319 | NPPES |
| Missouri | MEDICAID | 200080460 |
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