Johnson, Jungsook Sue
Johnson, Jungsook Sue is an individual health care provider with primary practice located at 5000 Blackmore Rd , Casper WY 82609-3345. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Jungsook Sue can be contacted via phone (307) 233-6000.Contact Information
Primary practice address
5000 Blackmore Rd
Casper WY 82609-3345
Phone: (307) 233-6000
Fax: (307) 233-6089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8832A | Wyoming |
Profile Details
| NPI number | 1720061658 |
|---|---|
| LBN Legal business name | Johnson, Jungsook Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Nov 9th, 2016 - about 8 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 | 1720061658 | NPPES |
| California | Other | A25227 | MEDICARE ID |
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