Baek, James J

Baek, James J is an individual health care provider with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baek, James J can be contacted via phone (304) 766-3600.

Contact Information

Primary practice address
4605 Maccorkle Ave Sw South Charleston WV 25309-1311
Phone: (304) 766-3600
Fax: (304) 343-4626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18837 West Virginia

Profile Details

NPI number 1851393045
LBN Legal business name Baek, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 17th, 2018 - about 6 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 1851393045 NPPES
West Virginia Other 000023074 BLUE CROSS
West Virginia MEDICAID 0121594000 BLUE CROSS

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