Lee, Suk Wan

Lee, Suk Wan is an individual health care provider with primary practice located at 998 S Dorset Rd Suite 206, Troy OH 45373-4753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lee, Suk Wan can be contacted via phone (937) 332-1165.

Contact Information

Primary practice address
998 S Dorset Rd Suite 206 Troy OH 45373-4753
Phone: (937) 332-1165
Fax: (937) 332-1384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35036869 Ohio

Profile Details

NPI number 1467420265
LBN Legal business name Lee, Suk Wan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 5th, 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 1467420265 NPPES
Ohio MEDICAID 0340876

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