Ju, Won Hae
Ju, Won Hae is an individual health care provider with primary practice located at 111 Founders Plz #300 C/O Ipms, East Hartford CT 06108-3212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Ju, Won Hae can be contacted via phone (860) 282-4137.Contact Information
Primary practice address
111 Founders Plz #300 C/O Ipms
East Hartford CT 06108-3212
Phone: (860) 282-4137
Fax: (860) 282-0170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 023687 | Connecticut |
Profile Details
NPI number | 1629078282 |
---|---|
LBN Legal business name | Ju, Won Hae |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2005 |
Last updated | Mar 6th, 2014 - about 10 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 | 1629078282 | NPPES |
Connecticut | MEDICAID | 001236878 |
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