Ahn, Jungmin
Ahn, Jungmin is an sole proprietor health care provider with primary practice located at 11419 19Th Ave Se Ste C106 , Everett WA 98208-5120. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Ahn, Jungmin can be contacted via phone (425) 523-8878.Contact Information
Primary practice address
11419 19Th Ave Se Ste C106
Everett WA 98208-5120
Phone: (425) 523-8878
Fax: (425) 523-8868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC60047998 | Washington |
Profile Details
| NPI number | 1417191644 |
|---|---|
| LBN Legal business name | Ahn, Jungmin |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2009 |
| Last updated | May 14th, 2019 - about 5 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 | 1417191644 | NPPES |
| Washington | MEDICAID | 1417191644 |
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