Kim, Miah

Kim, Miah is an individual health care provider with primary practice located at 80 Scenic Dr Suite 6, Freehold NJ 07728-5210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kim, Miah can be contacted via phone (732) 683-0010.

Contact Information

Primary practice address
80 Scenic Dr Suite 6 Freehold NJ 07728-5210
Fax: (732) 409-6997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB05981900 New Jersey

Profile Details

NPI number 1720053838
LBN Legal business name Kim, Miah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720053838 NPPES
New Jersey MEDICAID 7025009
New Jersey MEDICAID 7461402

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