Lee, Christoph Ilsuk
Lee, Christoph Ilsuk is an individual health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Lee, Christoph Ilsuk can be contacted via phone (206) 288-1000.Contact Information
Primary practice address
825 Eastlake Ave E
Seattle WA 98109-4405
Phone: (206) 288-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD60267813 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60267813 | Washington |
Profile Details
| NPI number | 1295914711 |
|---|---|
| LBN Legal business name | Lee, Christoph Ilsuk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2007 |
| Last updated | Jun 21st, 2012 - about 12 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 | 1295914711 | NPPES |
| Washington | Other | 0293202 | L&I |
| Washington | MEDICAID | 1295914711 | L&I |
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