Mirly, Harvey Lee

Mirly, Harvey Lee is an individual health care provider with primary practice located at 4700 Memorial Dr Ste. 340, Belleville IL 62226-5373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Mirly, Harvey Lee can be contacted via phone (618) 235-7065.

Contact Information

Primary practice address
4700 Memorial Dr Ste. 340 Belleville IL 62226-5373
Phone: (618) 235-7065
Fax: (618) 235-9020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036085921 Illinois

Profile Details

NPI number 1447203971
LBN Legal business name Mirly, Harvey Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 11th, 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 1447203971 NPPES
Illinois MEDICAID 1447203971
Illinois Other 6394100002

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