Periolat, Lee M

Periolat, Lee M is an sole proprietor health care provider with primary practice located at 601 Wall St , Valparaiso IN 46383-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Periolat, Lee M can be contacted via phone (219) 531-3662.

Contact Information

Primary practice address
601 Wall St Valparaiso IN 46383-2512
Phone: (219) 531-3662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01026484 Indiana

Profile Details

NPI number 1417974072
LBN Legal business name Periolat, Lee M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Nov 25th, 2020 - about 6 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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