Jeong, Mike Y
Jeong, Mike Y is an individual health care provider with primary practice located at 7391 W Charleston Blvd Suite 140, Las Vegas NV 89117-1501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Jeong, Mike Y can be contacted via phone (702) 304-2144.Contact Information
Primary practice address
7391 W Charleston Blvd Suite 140
Las Vegas NV 89117-1501
Phone: (702) 304-2144
Fax: (702) 304-2147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 1024 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1024 | Nevada |
Profile Details
| NPI number | 1144251075 |
|---|---|
| LBN Legal business name | Jeong, Mike Y |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Feb 20th, 2018 - about 6 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 | 1144251075 | NPPES |
| Nevada | MEDICAID | 002018471 |
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