Jin, Jay Jun-Hong
Jin, Jay Jun-Hong is an individual health care provider with primary practice located at 705 Riley Hospital Dr # 4270 , Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as his primary health care specialty. Jin, Jay Jun-Hong can be contacted via phone (317) 948-7208.Contact Information
Primary practice address
705 Riley Hospital Dr # 4270
Indianapolis IN 46202-5109
Phone: (317) 948-7208
Fax: (317) 944-7245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 01080635A | Indiana |
Profile Details
| NPI number | 1356605299 |
|---|---|
| LBN Legal business name | Jin, Jay Jun-Hong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Jan 13th, 2021 - about 5 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 | 1356605299 | NPPES |
| Indiana | MEDICAID | 300016337 | |
| Indiana | MEDICAID | ENROLLED | |
| Indiana | MEDICAID | ENROLLED |
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