Lee, Dwayne
Lee, Dwayne is an sole proprietor health care provider with primary practice located at 1219 Camino Del Mar , Del Mar CA 92014-2505. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Lee, Dwayne can be contacted via phone (858) 793-1104.Contact Information
Primary practice address
1219 Camino Del Mar
Del Mar CA 92014-2505
Phone: (858) 793-1104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 10136 | California |
Profile Details
| NPI number | 1386855948 |
|---|---|
| LBN Legal business name | Lee, Dwayne |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Feb 12th, 2013 - about 11 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 | 1386855948 | NPPES |
| California | Other | 10136 | CA STATE BOARD LICENSE NUMBER |
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