Lee, Myron
Lee, Myron is an sole proprietor health care provider with primary practice located at 3000 Colby St Suite 104, Berkeley CA 94705-2058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lee, Myron can be contacted via phone (510) 843-4613.Contact Information
Primary practice address
3000 Colby St Suite 104
Berkeley CA 94705-2058
Phone: (510) 843-4613
Fax: (510) 843-4652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 00A222740 | California |
Profile Details
| NPI number | 1215023395 |
|---|---|
| LBN Legal business name | Lee, Myron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 10th, 2011 - about 13 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 | 1215023395 | NPPES |
| California | MEDICAID | 00A222740 |
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