Lee, Myung Soo

Lee, Myung Soo is an individual health care provider with primary practice located at L6 Omega Dr , Newark DE 19713-2077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Lee, Myung Soo can be contacted via phone (302) 738-9300.

Contact Information

Primary practice address
L6 Omega Dr Newark DE 19713-2077
Phone: (302) 738-9300
Fax: (302) 738-3791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X C10001788 Delaware

Profile Details

NPI number 1235115429
LBN Legal business name Lee, Myung Soo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Dec 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235115429 NPPES
Delaware MEDICAID 0000190701

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