Lee, Robert W

Lee, Robert W is an sole proprietor health care provider with primary practice located at 9 Russell Dr Suite 201, Ellijay GA 30540-5573. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Lee, Robert W can be contacted via phone (706) 698-9679.

Contact Information

Primary practice address
9 Russell Dr Suite 201 Ellijay GA 30540-5573
Phone: (706) 698-9679
Fax: (706) 698-9678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIRO05113 Georgia
Chiropractic Providers / Rehabilitation 111NR0400X CHIRO05113 Georgia

Profile Details

NPI number 1124128293
LBN Legal business name Lee, Robert W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jun 18th, 2018 - about 7 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 1124128293 NPPES
Georgia Other 202G700756 MEDICARE PTAN
Georgia Other CHIRO05113 MEDICARE PTAN

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