Jang, Minwoo
Jang, Minwoo is an individual health care provider with primary practice located at 343 Main Street , Great Barrington MA 01230. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is his primary health care specialty. Jang, Minwoo can be contacted via phone (413) 528-5565.Contact Information
Primary practice address
343 Main Street
Great Barrington MA 01230
Phone: (413) 528-5565
Fax: (413) 528-5564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN1856653 | Massachusetts |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Massachusetts |
Profile Details
| NPI number | 1437567443 |
|---|---|
| LBN Legal business name | Jang, Minwoo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2014 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437567443 | NPPES |
| Massachusetts | MEDICAID | 110100537A |
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