Lee, Oh Jeong

Lee, Oh Jeong is an sole proprietor health care provider with primary practice located at 5500 Hohman Ave Suite 2E, Hammond IN 46320-1965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Oh Jeong can be contacted via phone (219) 933-6757.

Contact Information

Primary practice address
5500 Hohman Ave Suite 2E Hammond IN 46320-1965
Fax: (219) 933-6826
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01035185A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036069355 Illinois

Profile Details

NPI number 1144267444
LBN Legal business name Lee, Oh Jeong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Dec 29th, 2009 - about 15 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 1144267444 NPPES
Illinois MEDICAID 036069355T2
Illinois MEDICAID 100014510A

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