Aeum, Judy Jisoo
Aeum, Judy Jisoo is an individual health care provider with primary practice located at Madigan Army Medical Center 9040 Jackson Ave , Tacoma WA 98431-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Aeum, Judy Jisoo can be contacted via phone (253) 968-2252.Contact Information
Primary practice address
Madigan Army Medical Center 9040 Jackson Ave
Tacoma WA 98431-0001
Phone: (253) 968-2252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 238032-1 | New York |
Profile Details
| NPI number | 1114934890 |
|---|---|
| LBN Legal business name | Aeum, Judy Jisoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Apr 14th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114934890 | NPPES |
| New Mexico | Other | 238032-1 | MEDICAL LICENSE NUMBER |
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