Kim, Sung-Dong

Kim, Sung-Dong is an individual health care provider with primary practice located at 111 Charlotte Pl #101, Englewood Cliffs NJ 07632. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Kim, Sung-Dong can be contacted via phone (201) 227-8636.

Contact Information

Primary practice address
111 Charlotte Pl #101 Englewood Cliffs NJ 07632
Phone: (201) 227-8636
Fax: (201) 227-8639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00568000 New Jersey
Chiropractic Providers / Chiropractor 111N00000X X98111 New York
Other Service Providers / Acupuncturist 171100000X 25MZ00042300 New Jersey
Other Service Providers / Acupuncturist 171100000X 002988-1 New York

Profile Details

NPI number 1962579045
LBN Legal business name Kim, Sung-Dong
Credentials DC LAC CA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1962579045 NPPES
New Jersey Other 1036944 ASH CHIROPRACTIC
New Jersey Other 673435 ASH CHIROPRACTIC
New Jersey Other 9388280 ASH CHIROPRACTIC
New Jersey Other 1065217 ASH CHIROPRACTIC

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