Myers, Lee T

Myers, Lee T is an sole proprietor health care provider with primary practice located at 1952 Lamar Ave , Memphis TN 38114-2151. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Myers, Lee T can be contacted via phone (901) 276-4629.

Contact Information

Primary practice address
1952 Lamar Ave Memphis TN 38114-2151
Phone: (901) 276-4629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS 0000007039 Tennessee
Dental Providers / Dentist 122300000X DS7987 Tennessee

Profile Details

NPI number 1104815091
LBN Legal business name Myers, Lee T
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Jan 7th, 2013 - about 12 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 1104815091 NPPES
Tennessee Other 1437147337 TENNCARE

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