Secrist, Lee J
Secrist, Lee J is an individual health care provider with primary practice located at 3754 S Brentwood Ln , Coeur D Alene ID 83814-7053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Secrist, Lee J can be contacted via phone (952) 595-1100.Contact Information
Primary practice address
3754 S Brentwood Ln
Coeur D Alene ID 83814-7053
Phone: (952) 595-1100
Fax: (612) 294-4903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M7731 | Idaho |
Profile Details
| NPI number | 1912909623 |
|---|---|
| LBN Legal business name | Secrist, Lee J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Aug 16th, 2013 - about 11 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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