Kim, Eugene M
Kim, Eugene M is an individual health care provider with primary practice located at 2222 E Highland Ave Suite 400, Phoenix AZ 85016-4872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Kim, Eugene M can be contacted via phone (602) 277-4868.Contact Information
Primary practice address
2222 E Highland Ave Suite 400
Phoenix AZ 85016-4872
Phone: (602) 277-4868
Fax: (602) 230-9350
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 33968 | Arizona |
Profile Details
NPI number | 1770570293 |
---|---|
LBN Legal business name | Kim, Eugene M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2005 |
Last updated | Mar 7th, 2018 - about 6 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 | 1770570293 | NPPES |
Arizona | MEDICAID | 933128 |
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