Lee, Jin-Moo

Lee, Jin-Moo is an individual health care provider with primary practice located at 4921 Parkview Pl Div Neurology Stroke, Ste 6C, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Lee, Jin-Moo can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
4921 Parkview Pl Div Neurology Stroke, Ste 6C Saint Louis MO 63110-1032
Phone: (314) 362-1408
Fax: (314) 747-3342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 112694 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 112694 Missouri

Profile Details

NPI number 1366460008
LBN Legal business name Lee, Jin-Moo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 25th, 2024 - about 5 months 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 1366460008 NPPES
Missouri MEDICAID 209682905

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