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
Fax: (860) 282-0170
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629078282 NPPES
Connecticut MEDICAID 001236878

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