Kim, Buup Justin

Kim, Buup Justin is an individual health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104-7927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kim, Buup Justin can be contacted via phone (701) 417-2575.

Contact Information

Primary practice address
5225 23Rd Ave S Fargo ND 58104-7927
Phone: (701) 417-2575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35061675K Ohio
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 46980 Montana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 17672 North Dakota

Profile Details

NPI number 1346255650
LBN Legal business name Kim, Buup Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated May 18th, 2022 - about 2 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 1346255650 NPPES
Ohio Other P00210249 RAILROAD MEDICARE
Ohio MEDICAID 0851056 RAILROAD MEDICARE
Ohio Other 000000039032 RAILROAD MEDICARE

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