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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1649273319 NPPES
Missouri MEDICAID 200080460

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