Jung, Ki Soo
Jung, Ki Soo is an individual health care provider with primary practice located at 10314 Hamptons Park Dr , Huntersville NC 28078-7217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jung, Ki Soo can be contacted via phone (704) 831-4100.Contact Information
Primary practice address
10314 Hamptons Park Dr
Huntersville NC 28078-7217
Phone: (704) 831-4100
Fax: (704) 831-4105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 200400364 | North Carolina |
Profile Details
| NPI number | 1609862283 |
|---|---|
| LBN Legal business name | Jung, Ki Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Mar 20th, 2024 - about 8 months 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 | 1609862283 | NPPES |
| North Carolina | Other | P00387970 | RAILROAD MEDICARE |
| North Carolina | Other | Q00247071 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 89136T1 | RAILROAD MEDICARE |
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