Hong, Dae Y.

Hong, Dae Y. is an individual health care provider with primary practice located at 388 Ypao Rd , Tamuning GU 96913-3701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hong, Dae Y. can be contacted via phone (671) 646-8881.

Contact Information

Primary practice address
388 Ypao Rd Tamuning GU 96913-3701
Phone: (671) 646-8881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-134 Guam
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA916 Kentucky

Profile Details

NPI number 1457300923
LBN Legal business name Hong, Dae Y.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 27th, 2023 - about 2 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 1457300923 NPPES
Kentucky MEDICAID 7100014260
Kentucky Other 000000524207
Kentucky Other 1066346

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