Provider Demographics
NPI:1265520720
Name:LE, PAUL HY (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HY
Last Name:LE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1707 WAYNE MEMORIAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-2239
Mailing Address - Country:US
Mailing Address - Phone:919-735-1004
Mailing Address - Fax:919-735-8004
Practice Address - Street 1:1707 WAYNE MEMORIAL DR STE B
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-2239
Practice Address - Country:US
Practice Address - Phone:919-735-1004
Practice Address - Fax:919-735-8004
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1950284OtherFIRST HEALTH
NC89085EKMedicaid
NC085EKOtherBCBS
NC895364OtherMAMSI
NC2454205Medicare ID - Type UnspecifiedMEDICARE
NC89085EKMedicaid