Kim, Joon-Bom

Kim, Joon-Bom is an individual health care provider with primary practice located at 925 N 87Th St , Milwaukee WI 53226-4812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kim, Joon-Bom can be contacted via phone (414) 955-2020.

Contact Information

Primary practice address
925 N 87Th St Milwaukee WI 53226-4812
Phone: (414) 955-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 72968-20 Wisconsin

Profile Details

NPI number 1932527413
LBN Legal business name Kim, Joon-Bom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Dec 28th, 2020 - about 5 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 1932527413 NPPES
Wisconsin MEDICAID 1932527413

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