Kim, Marie
Kim, Marie is an sole proprietor health care provider with primary practice located at 150 S Huntington Ave , Jamaica Plain MA 02130-4817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kim, Marie can be contacted via phone (617) 232-9500.Contact Information
Primary practice address
150 S Huntington Ave
Jamaica Plain MA 02130-4817
Phone: (617) 232-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60726137 | Washington |
Profile Details
| NPI number | 1467758615 |
|---|---|
| LBN Legal business name | Kim, Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2011 |
| Last updated | Dec 20th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467758615 | NPPES |
| Washington | MEDICAID | 1467758615 |
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