Keum, Matthew Minseok
Keum, Matthew Minseok is an sole proprietor health care provider with primary practice located at 36060 Euclid Ave Ste 101 , Willoughby OH 44094-4661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Keum, Matthew Minseok can be contacted via phone (440) 269-4990.Contact Information
Primary practice address
36060 Euclid Ave Ste 101
Willoughby OH 44094-4661
Phone: (440) 269-4990
Fax: (440) 269-4991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 35078037 | Ohio |
Profile Details
| NPI number | 1073508297 |
|---|---|
| LBN Legal business name | Keum, Matthew Minseok |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Apr 2nd, 2012 - about 13 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 | 1073508297 | NPPES |
| Ohio | MEDICAID | 2253289 |
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