Hong, Jae Ui

Hong, Jae Ui is an sole proprietor health care provider with primary practice located at 321 E Main St Suite 100, Somerset PA 15501-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hong, Jae Ui can be contacted via phone (814) 445-5169.

Contact Information

Primary practice address
321 E Main St Suite 100 Somerset PA 15501-2104
Fax: (814) 443-6290
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD059496L Pennsylvania

Profile Details

NPI number 1184611634
LBN Legal business name Hong, Jae Ui
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Dec 1st, 2009 - about 15 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 1184611634 NPPES
Pennsylvania MEDICAID 0018013740002
Pennsylvania Other 838177
Pennsylvania Other 110216603
Pennsylvania Other 76444
Pennsylvania Other 123405
Pennsylvania Other 207960
Pennsylvania Other 946096

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