Lee, Gary W
Lee, Gary W is an sole proprietor health care provider with primary practice located at 1965 S Eagle Rd Ste 140, Meridian ID 83642-9288. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lee, Gary W can be contacted via phone (208) 957-6514.Contact Information
Primary practice address
1965 S Eagle Rd Ste 140
Meridian ID 83642-9288
Phone: (208) 957-6514
Fax: (208) 957-6506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW578 | Idaho |
Profile Details
| NPI number | 1003963638 |
|---|---|
| LBN Legal business name | Lee, Gary W |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Aug 5th, 2016 - about 8 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 | 1003963638 | NPPES |
| Idaho | Other | 000010015750 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | L9982 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | 077063 | REGENCE BLUE SHIELD OF ID |
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