Kim, Changhee

Kim, Changhee is an individual health care provider with primary practice located at 38815 Dequindre Rd Ste 103, Troy MI 48083. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kim, Changhee can be contacted via phone (248) 740-7771.

Contact Information

Primary practice address
38815 Dequindre Rd Ste 103 Troy MI 48083
Phone: (248) 740-7771
Fax: (248) 740-7772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301059643 Michigan

Profile Details

NPI number 1215918479
LBN Legal business name Kim, Changhee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 21st, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215918479 NPPES
Michigan MEDICAID 4562401

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