Keum, Jacob Sung Sik

Keum, Jacob Sung Sik is an sole proprietor health care provider with primary practice located at 1600 Morgan St , Keokuk IA 52632-3497. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Keum, Jacob Sung Sik can be contacted via phone (319) 524-7150.

Contact Information

Primary practice address
1600 Morgan St Keokuk IA 52632-3497
Fax: (319) 524-5317
Website:

Profile Details

NPI number 1215998737
LBN Legal business name Keum, Jacob Sung Sik
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2006
Last updated Jun 7th, 2019 - about 5 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 1215998737 NPPES
New York MEDICAID 02461874

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