Lee Self Md Pa

LBN: Lee Self Md Pa
Lee Self Md Pa is an health care organization with primary practice located at 2020 S Johns Ave Ste B , Emmett ID 83617-9410. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Primary Care. Other Service Providers / Specialist is the primary health care specialty. Lee Self Md Pa can be contacted via phone (208) 425-7507, or through Self, Lee via phone (208) 425-7507.

Contact Information

Primary practice address
2020 S Johns Ave Ste B Emmett ID 83617-9410
Phone: (208) 425-7507
Fax: (208) 584-9341
Website:
Map and Directions
Authorized official contact:
Name: Self, Lee Doctor of Medicine (MD)
Phone: (208) 425-7507

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M7844 Idaho
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1346400744
LBN Legal business name Lee Self Md Pa
DBA Doing business as
Authorized official Self, Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Mar 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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