Lee, Miae
Lee, Miae is an individual health care provider with primary practice located at 3300 Renner Dr , Fortuna CA 95540-3120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Lee, Miae can be contacted via phone (707) 725-3361.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | CRNA2665 | California |
Profile Details
| NPI number | 1154423770 |
|---|---|
| LBN Legal business name | Lee, Miae |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Aug 20th, 2012 - about 12 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 | 1154423770 | NPPES |
| California | MEDICAID | RN4693190 |
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