Jeun, Bryan Su-Hyun

Jeun, Bryan Su-Hyun is an sole proprietor health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Jeun, Bryan Su-Hyun can be contacted via phone (417) 269-4056.

Contact Information

Primary practice address
3801 S National Ave Springfield MO 65807-5210
Phone: (417) 269-4056
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2014015319 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0068937 Colorado
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 2014015319 Missouri

Profile Details

NPI number 1063674216
LBN Legal business name Jeun, Bryan Su-Hyun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2008
Last updated Nov 4th, 2022 - 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 1063674216 NPPES
Missouri MEDICAID 1063674216
Missouri MEDICAID 200015934

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