Todd, John Lee

Todd, John Lee is an individual health care provider with primary practice located at 1505 Daphne Ave , Daphne AL 36526-4298. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Todd, John Lee can be contacted via phone (251) 625-2663.

Contact Information

Primary practice address
1505 Daphne Ave Daphne AL 36526-4298
Fax: (251) 625-3198
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AL17120 Alabama

Profile Details

NPI number 1528055142
LBN Legal business name Todd, John Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Dec 5th, 2012 - 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 1528055142 NPPES
Alabama MEDICAID 051551243
Alabama Other 51506024

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