Lee, Thomas C

Lee, Thomas C is an individual health care provider with primary practice located at 155 Glasson Way , Grass Valley CA 95945-5723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lee, Thomas C can be contacted via phone (530) 274-6001.

Contact Information

Primary practice address
155 Glasson Way Grass Valley CA 95945-5723
Phone: (530) 274-6001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G83231 California

Profile Details

NPI number 1104827757
LBN Legal business name Lee, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Dec 15th, 2021 - about 3 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 1104827757 NPPES
California MEDICAID 00G832310

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