Choi, John K

Choi, John K is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Choi, John K can be contacted via phone (920) 926-4939.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Fax: (920) 926-5999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 29915 Wisconsin

Profile Details

NPI number 1679557151
LBN Legal business name Choi, John K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Dec 28th, 2020 - about 5 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 1679557151 NPPES
Wisconsin Other 14567 DEAN
Wisconsin MEDICAID 31493700 DEAN

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