Kim, Julie E
Kim, Julie E is an sole proprietor health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Kim, Julie E can be contacted via phone (541) 942-0511.Contact Information
Primary practice address
1515 Village Dr
Cottage Grove OR 97424-9700
Phone: (541) 942-0511
Fax: (541) 942-6735
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD27528 | Oregon |
Profile Details
NPI number | 1497796403 |
---|---|
LBN Legal business name | Kim, Julie E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2006 |
Last updated | Jul 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497796403 | NPPES |
Washington | MEDICAID | 8432833 |
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