Lee, John C.

Lee, John C. is an sole proprietor health care provider with primary practice located at 1714 S Blaine Ln , Decatur IL 62521-5025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lee, John C. can be contacted via phone (217) 423-9000.

Contact Information

Primary practice address
1714 S Blaine Ln Decatur IL 62521-5025
Phone: (217) 423-9000
Fax: (217) 423-9002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Illinois

Profile Details

NPI number 1013072990
LBN Legal business name Lee, John C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 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 1013072990 NPPES
Illinois Other 001491 HEALTH ALLIANCE
Illinois Other 0554210001 HEALTH ALLIANCE

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