Lee, John

Lee, John is an individual health care provider with primary practice located at 101 W Kirkwood Ave Ste 213, Bloomington IN 47404-6129. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lee, John can be contacted via phone (812) 332-9200.

Contact Information

Primary practice address
101 W Kirkwood Ave Ste 213 Bloomington IN 47404-6129
Phone: (812) 332-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001314A Indiana

Profile Details

NPI number 1992778567
LBN Legal business name Lee, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1992778567 NPPES
Indiana Other 000000275434 ANTHEM

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