Lee, Irvin
Lee, Irvin is an sole proprietor health care provider with primary practice located at 2401 W Belvedere Ave , Baltimore MD 21215-5216. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lee, Irvin can be contacted via phone (410) 601-5209.Contact Information
Primary practice address
2401 W Belvedere Ave
Baltimore MD 21215-5216
Phone: (410) 601-5209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R163033 | Maryland |
Profile Details
| NPI number | 1841297280 |
|---|---|
| LBN Legal business name | Lee, Irvin |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jun 6th, 2018 - about 6 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 | 1841297280 | NPPES |
| Maryland | MEDICAID | 404268900 | |
| Maryland | Other | 454MI519 |
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