Koo, Bon Chul
Koo, Bon Chul is an individual health care provider with primary practice located at 4853 Galaxy Pkwy Suite I, Cleveland OH 44128-5973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Koo, Bon Chul can be contacted via phone (216) 831-9786.Contact Information
Primary practice address
4853 Galaxy Pkwy Suite I
Cleveland OH 44128-5973
Phone: (216) 831-9786
Fax: (216) 831-2425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35043277 | Ohio |
Profile Details
| NPI number | 1205829280 |
|---|---|
| LBN Legal business name | Koo, Bon Chul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jun 27th, 2014 - about 10 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 | 1205829280 | NPPES |
| Ohio | MEDICAID | 0404075 |
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