Jung, Tae H
Jung, Tae H is an individual health care provider with primary practice located at 15424 Sprucevale Rd , East Liverpool OH 43920-9200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jung, Tae H can be contacted via phone (330) 382-0388.Contact Information
Primary practice address
15424 Sprucevale Rd
East Liverpool OH 43920-9200
Phone: (330) 382-0388
Fax: (330) 382-0389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35078382J | Ohio |
Profile Details
| NPI number | 1831153006 |
|---|---|
| LBN Legal business name | Jung, Tae H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Dec 13th, 2013 - 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 | 1831153006 | NPPES |
| Ohio | MEDICAID | 2205527 |
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