Lee, Jason Kwang-Gu
Lee, Jason Kwang-Gu is an individual health care provider with primary practice located at 801 Broadway Suite 500, Seattle WA 98122-4396. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Lee, Jason Kwang-Gu can be contacted via phone (206) 682-6087.Contact Information
Primary practice address
801 Broadway Suite 500
Seattle WA 98122-4396
Phone: (206) 682-6087
Fax: (206) 343-7190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD00046382 | Washington |
Profile Details
| NPI number | 1114965332 |
|---|---|
| LBN Legal business name | Lee, Jason Kwang-Gu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | May 24th, 2021 - about 3 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 | 1114965332 | NPPES |
| Washington | MEDICAID | 8452575 |
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