Lee, Jong

Lee, Jong is an individual health care provider with primary practice located at 5315 Elliott Dr Ste 304 , Ypsilanti MI 48197-8634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lee, Jong can be contacted via phone (734) 712-0655.

Contact Information

Primary practice address
5315 Elliott Dr Ste 304 Ypsilanti MI 48197-8634
Phone: (734) 712-0655
Fax: (734) 712-0611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301094671 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301094671 Michigan

Profile Details

NPI number 1548317811
LBN Legal business name Lee, Jong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated May 6th, 2021 - about 3 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 1548317811 NPPES
Iowa MEDICAID 0727396

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