Bae, Jean S.

Bae, Jean S. is an individual health care provider with primary practice located at 700 Ray O Vac Dr Suite 220, Madison WI 53711-2479. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Bae, Jean S. can be contacted via phone (608) 276-9191.

Contact Information

Primary practice address
700 Ray O Vac Dr Suite 220 Madison WI 53711-2479
Phone: (608) 276-9191
Fax: (608) 276-9144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 40078-020 Wisconsin

Profile Details

NPI number 1093870073
LBN Legal business name Bae, Jean S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1093870073 NPPES
Wisconsin MEDICAID 34136400

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