Lee, Matthew Kermit

Lee, Matthew Kermit is an individual health care provider with primary practice located at 465 Trout Ave Numi, Groton CT 06340. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Lee, Matthew Kermit can be contacted via phone (680) 666-6666.

Contact Information

Primary practice address
465 Trout Ave Numi Groton CT 06340
Phone: (680) 666-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1770932220
LBN Legal business name Lee, Matthew Kermit
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2016
Last updated Jun 6th, 2016 - about 8 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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