Lee, John Martin
Lee, John Martin is an individual health care provider with primary practice located at 1542 Medical Park Cir , Tupelo MS 38801-6560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lee, John Martin can be contacted via phone (662) 844-4711.Contact Information
Primary practice address
1542 Medical Park Cir
Tupelo MS 38801-6560
Phone: (662) 844-4711
Fax: (662) 844-9619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 10710 | Mississippi |
Profile Details
| NPI number | 1205806155 |
|---|---|
| LBN Legal business name | Lee, John Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jun 30th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205806155 | NPPES |
| Mississippi | MEDICAID | 00010520 | |
| Mississippi | Other | 0114538 | |
| Mississippi | Other | 10710 | |
| Mississippi | MEDICAID | 009002820 | |
| Mississippi | Other | 73012088 |
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