Kim, Doug Shin

Kim, Doug Shin is an individual health care provider with primary practice located at 31260 Pacific Hwy S Suite 3, Federal Way WA 98003-5448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Doug Shin can be contacted via phone (253) 941-7100.

Contact Information

Primary practice address
31260 Pacific Hwy S Suite 3 Federal Way WA 98003-5448
Phone: (253) 941-7100
Fax: (253) 941-1510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00027275 Washington

Profile Details

NPI number 1720087067
LBN Legal business name Kim, Doug Shin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 27th, 2015 - about 9 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 1720087067 NPPES
Washington Other 911891770 TAX IDENTIFICATION NUMBER
Washington MEDICAID 1302280 TAX IDENTIFICATION NUMBER
Washington Other 78257 TAX IDENTIFICATION NUMBER
Washington Other KI2297 TAX IDENTIFICATION NUMBER

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