Jo, Yong Nam
Jo, Yong Nam is an individual health care provider with primary practice located at 325 Washington St Anesthesia Dept, Norwich CT 06360-2719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Jo, Yong Nam can be contacted via phone (860) 823-6395.Contact Information
Primary practice address
325 Washington St Anesthesia Dept
Norwich CT 06360-2719
Phone: (860) 823-6395
Fax: (860) 823-6563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 029492 | Connecticut |
Profile Details
| NPI number | 1962482422 |
|---|---|
| LBN Legal business name | Jo, Yong Nam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Dec 8th, 2014 - about 11 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 | 1962482422 | NPPES |
| Connecticut | MEDICAID | 001294925 |
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