Bae, Young Hoon
Bae, Young Hoon is an individual health care provider with primary practice located at 14631 Route 29 Ste 209 , Centreville VA 20121-5827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bae, Young Hoon can be contacted via phone (703) 830-1800.Contact Information
Primary practice address
14631 Route 29 Ste 209
Centreville VA 20121-5827
Phone: (703) 830-1800
Fax: (703) 830-1801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101236788 | Virginia |
Profile Details
NPI number | 1619931680 |
---|---|
LBN Legal business name | Bae, Young Hoon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2006 |
Last updated | Jun 13th, 2024 - about 6 months 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 | 1619931680 | NPPES |
Virginia | Other | 10001138 | OPTIMA |
Virginia | Other | 185720 | OPTIMA |
Virginia | Other | 3810004019 | OPTIMA |
Virginia | MEDICAID | 010233682 | OPTIMA |
Virginia | Other | 145899 | OPTIMA |
Virginia | Other | 1000870001 | OPTIMA |
Virginia | Other | 36489 | OPTIMA |
Virginia | Other | P00279999 | OPTIMA |
Virginia | Other | O86926M | OPTIMA |
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