Lee, Cheng Chong

Lee, Cheng Chong is an individual health care provider with primary practice located at 6742 Park Ave , Allen Park MI 48101-2034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lee, Cheng Chong can be contacted via phone (313) 928-2333.

Contact Information

Primary practice address
6742 Park Ave Allen Park MI 48101-2034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301031562 Michigan

Profile Details

NPI number 1114909785
LBN Legal business name Lee, Cheng Chong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 22nd, 2008 - 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 1114909785 NPPES
Michigan MEDICAID 1432252

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