Lee, John
Lee, John is an sole proprietor health care provider with primary practice located at 2191 Niles St , Bakersfield CA 93305-5007. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lee, John can be contacted via phone (661) 327-4248.Contact Information
Primary practice address
2191 Niles St
Bakersfield CA 93305-5007
Phone: (661) 327-4248
Fax: (661) 327-1025
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | RPH22347 | California |
Profile Details
NPI number | 1063402089 |
---|---|
LBN Legal business name | Lee, John |
Credentials | R. PH. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 21st, 2005 |
Last updated | Mar 12th, 2024 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063402089 | NPPES |
California | MEDICAID | 1033109319 | |
California | Other | 0524719 |
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