Lee G. Wilbur
Emergency Physician
1701 N Senate Blvd Rm Ag001
Indianapolis
, Indiana 46202-1239
Lee G. Wilbur
Emergency Physician
1701 N Senate Blvd Rm Ag001
Indianapolis
, Indiana 46202-1239
(317) 962-4950
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Lee G. Wilbur
- 950 N Meridian St Ste 500 Provider Enrollment
- Indianapolis, IN
- Zip : 46204-3908
- Fax : (317) 962-4950
- Phone : (317) 962-4945
Second Address
- Lee G. Wilbur
- 1701 N Senate Blvd Rm Ag001
- Indianapolis, IN
- Zip : 46202-1239
- Fax : (317) 962-8652
- Phone : (317) 962-3886
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 01058967A | IN |
National Provider Identifier
| NPI | 1003925975 |
|---|---|
| Provider Name | Lee G. Wilbur |
| First Address | Indianapolis, IN 46204-3908 |
| Second Address | Indianapolis, IN 46202-1239 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 21/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000331511 | ANTHEM (01) | IN |
| 200238230 | (05) | IN |
| I17977 | (02) | IN |
| P00924303 | RAILROAD MEDICARE PTAN (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.