Lee, Jason O

Lee, Jason O is an individual health care provider with primary practice located at 836 Farmington Avenue Suite 207, West Hartford CT 06119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Lee, Jason O can be contacted via phone (860) 232-9911.

Contact Information

Primary practice address
836 Farmington Avenue Suite 207 West Hartford CT 06119
Phone: (860) 232-9911
Fax: (860) 233-5996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 038654 Connecticut
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 038654 Connecticut

Profile Details

NPI number 1760463400
LBN Legal business name Lee, Jason O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Apr 14th, 2022 - about 2 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 1760463400 NPPES
Other 043518 AETNA
MEDICAID 001386540 AETNA
MEDICAID 00138654000 AETNA
Other 1179424002 AETNA
Other 004394508 AETNA
Other 224829 AETNA
Other 038654 AETNA
MEDICAID OV7942 AETNA
Other P2666151 AETNA
Other 010038654CT01 AETNA

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