Lee, Robert Dm

Lee, Robert Dm is an individual health care provider with primary practice located at 2102 E Inwood Rd , South Bend IN 46614-2443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Robert Dm can be contacted via phone (574) 299-2400.

Contact Information

Primary practice address
2102 E Inwood Rd South Bend IN 46614-2443
Phone: (574) 299-2400
Fax: (574) 299-2410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01039479A Indiana

Profile Details

NPI number 1225031925
LBN Legal business name Lee, Robert Dm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Dec 3rd, 2014 - about 10 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 1225031925 NPPES
Indiana MEDICAID 100143040
Indiana MEDICAID 100114340A

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