An, Jae-Koo
An, Jae-Koo is an individual health care provider with primary practice located at 7000 W Plano Pkwy Ste 110 , Plano TX 75093-8467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. An, Jae-Koo can be contacted via phone (972) 306-3767.Contact Information
Primary practice address
7000 W Plano Pkwy Ste 110
Plano TX 75093-8467
Phone: (972) 306-3767
Fax: (972) 566-8839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | L5652 | Texas |
Profile Details
| NPI number | 1205805447 |
|---|---|
| LBN Legal business name | An, Jae-Koo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Sep 25th, 2020 - about 4 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 | 1205805447 | NPPES |
| Texas | Other | 8G9571 | BCBSTX |
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