Kim, Jong H

Kim, Jong H is an individual health care provider with primary practice located at 200 E 80Th Pl Ste 100E, Merrillville IN 46410-5671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Jong H can be contacted via phone (219) 769-7536.

Contact Information

Primary practice address
200 E 80Th Pl Ste 100E Merrillville IN 46410-5671
Phone: (219) 769-7536
Fax: (219) 736-1506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036861A Indiana

Profile Details

NPI number 1891797569
LBN Legal business name Kim, Jong H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jun 3rd, 2011 - about 13 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 1891797569 NPPES
Other 0000066817103 UNITED HEALTHCARE
Other 000000080494 UNITED HEALTHCARE
Other AS65769900001 UNITED HEALTHCARE
Other 4520196 UNITED HEALTHCARE
Other 00000053287J UNITED HEALTHCARE
Other 452016 UNITED HEALTHCARE
MEDICAID 100200870 UNITED HEALTHCARE

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