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
Fax: (810) 732-0116
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295734762 NPPES
Michigan MEDICAID 1579441

Popular Providers