Kim, Jae Hoon

Kim, Jae Hoon is an sole proprietor health care provider with primary practice located at 7201 Wisconsin Ave Ste 440 , Bethesda MD 20814-4851. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Kim, Jae Hoon can be contacted via phone (202) 236-4669.

Contact Information

Primary practice address
7201 Wisconsin Ave Ste 440 Bethesda MD 20814-4851
Phone: (202) 236-4669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024178821 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R189134 Maryland

Profile Details

NPI number 1760726525
LBN Legal business name Kim, Jae Hoon
Credentials CRNP-PMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2012
Last updated Jun 8th, 2024 - about 3 months 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 1760726525 NPPES
Maryland MEDICAID 822275
Maryland MEDICAID 30015955680008
Maryland MEDICAID 587108500

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