Ahn, Jae

Ahn, Jae is an sole proprietor health care provider with primary practice located at 4505 Bergenline Ave , Union City NJ 07087-2723. He recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as his primary health care specialty. Ahn, Jae can be contacted via phone (201) 751-4984.

Contact Information

Primary practice address
4505 Bergenline Ave Union City NJ 07087-2723
Phone: (201) 751-4984
Fax: (201) 751-4985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00755900 New Jersey

Profile Details

NPI number 1548797962
LBN Legal business name Ahn, Jae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2017
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548797962 NPPES
New Jersey Other 28RS00755900 PHARMACY PERMIT NUMBER

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