Lee, Suk Bo

Lee, Suk Bo is an individual health care provider with primary practice located at 1330 Rockefeller Ave Ste 310 , Everett WA 98201-1677. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Lee, Suk Bo can be contacted via phone (423) 339-5476.

Contact Information

Primary practice address
1330 Rockefeller Ave Ste 310 Everett WA 98201-1677
Phone: (423) 339-5476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 27365 Washington

Profile Details

NPI number 1326143421
LBN Legal business name Lee, Suk Bo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Dec 13th, 2012 - about 13 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 1326143421 NPPES
Washington MEDICAID 1007837

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