Kim, Jae Chul
Kim, Jae Chul is an sole proprietor health care provider with primary practice located at 5031 Villa Linde Pkwy Ste 20, Flint MI 48532-3448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kim, Jae Chul can be contacted via phone (810) 732-2975.Contact Information
Primary practice address
5031 Villa Linde Pkwy Ste 20
Flint MI 48532-3448
Phone: (810) 732-2975
Fax: (810) 732-0116
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | JK040509 | Michigan |
Profile Details
NPI number | 1295734762 |
---|---|
LBN Legal business name | Kim, Jae Chul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 18th, 2005 |
Last updated | Apr 16th, 2008 - about 17 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 | 1295734762 | NPPES |
Michigan | MEDICAID | 1579441 |
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