Kim, Minji
Kim, Minji is an individual health care provider with primary practice located at 920 Royal Ave , Medford OR 97504-6169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kim, Minji can be contacted via phone (541) 732-8400.Contact Information
Primary practice address
920 Royal Ave
Medford OR 97504-6169
Phone: (541) 732-8400
Fax: (541) 732-3407
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD196401 | Oregon |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD60861213 | Washington |
Profile Details
NPI number | 1720424591 |
---|---|
LBN Legal business name | Kim, Minji |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2013 |
Last updated | Mar 18th, 2021 - about 3 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 | 1720424591 | NPPES |
Oregon | Other | R213587 | MEDICARE |
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