Hong, Justin Sup

Hong, Justin Sup is an individual health care provider with primary practice located at 1135 Olde W Chocolate Ave Suite 101, Hummelstown PA 17036-9188. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Brain Injury Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Hong, Justin Sup can be contacted via phone (717) 531-7010.

Contact Information

Primary practice address
1135 Olde W Chocolate Ave Suite 101 Hummelstown PA 17036-9188
Phone: (717) 531-7010
Fax: (717) 531-7102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 8301941-1205 Utah
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2081P0301X MD442705 Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD442705 Pennsylvania

Profile Details

NPI number 1912161431
LBN Legal business name Hong, Justin Sup
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2008
Last updated Jul 21st, 2021 - about 3 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 1912161431 NPPES
Pennsylvania MEDICAID 1026286140002

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