Lee Self Md Pa is a Specialist in Ola, Idaho. Lee Self Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lee Self Md Pa is 1346400744. The last update date is 2023-03-24.
Lee Self Md Pa's current location address is 23000 Sweet Ola Hwy, Ola, Idaho. You can contact this provider via phone number 2084257507 and fax number 2085849341. The mailing address for Lee Self Md Pa is 23000 Sweet Ola Hwy, Ola, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lee Self Md Pa |
|---|---|
| Address | 23000 Sweet Ola Hwy, Ola, Idaho |
| Phone Number | 2084257507 |
| Fax Number | 2085849341 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Self Lee |
| Credentials | MD |
| Telephone Number | 2084257507 |
NPI Number Detail
| NPI Number | 1346400744 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2023-03-24 |
Provider Mailing Address Detail
| Address | 23000 Sweet Ola Hwy |
|---|---|
| City | Ola |
| State | Idaho (ID) |
| Post Code | 836575027 |
| Phone Number | 2084257507 |
| Fax Number | 2085849341 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M7844 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lee Self Md Pa by the Centers for Medicare & Medicaid Services?
The Lee Self Md Pa has been assigned the NPI (National Provider Identifier) 1346400744 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lee Self Md Pa is physically located?
The Lee Self Md Pa is physically situated at the following address: 23000 Sweet Ola Hwy, Ola, ID, 836575027.
What is Lee Self Md Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lee Self Md Pa is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did Lee Self Md Pa receive its 1346400744 assignment?
The Lee Self Md Pa was assigned its 1346400744 on 2008-06-10, which is the date when this unique identifier was issued to the organization.
When was the Lee Self Md Pa's information last updated?
The Lee Self Md Pa's information was last updated on 2023-03-24.