Lee, Derek

Lee, Derek is an sole proprietor health care provider with primary practice located at 1045 Klotz Rd , Bowling Green OH 43402-4820. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Lee, Derek can be contacted via phone (419) 352-7588.

Contact Information

Primary practice address
1045 Klotz Rd Bowling Green OH 43402-4820
Phone: (419) 352-7588
Fax: (419) 354-4977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C0900398 Ohio

Profile Details

NPI number 1356636070
LBN Legal business name Lee, Derek
Credentials PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2011
Last updated May 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356636070 NPPES
Ohio Other C0900398 STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD

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