Lee, Jordan

Lee, Jordan is an sole proprietor health care provider with primary practice located at 1301 Punchbowl St , Honolulu HI 96813-2499. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Lee, Jordan can be contacted via phone (808) 691-1000.

Contact Information

Primary practice address
1301 Punchbowl St Honolulu HI 96813-2499
Phone: (808) 691-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD-19256 Hawaii
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD-19256 Hawaii

Profile Details

NPI number 1174847842
LBN Legal business name Lee, Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2010
Last updated Apr 22nd, 2020 - about 5 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 1174847842 NPPES
Hawaii MEDICAID 816720

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