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
Fax: (703) 830-1801
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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