Koo, Jessica H.
Koo, Jessica H. is an sole proprietor health care provider with primary practice located at 8001 Broadway , Merrillville IN 46410-5500. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Koo, Jessica H. can be contacted via phone (219) 736-8067.Contact Information
Primary practice address
8001 Broadway
Merrillville IN 46410-5500
Phone: (219) 736-8067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 26016170A | Indiana |
| Pharmacy Service Providers / Pharmacist | 183500000X | 051037814 | Illinois |
Profile Details
| NPI number | 1881966992 |
|---|---|
| LBN Legal business name | Koo, Jessica H. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2012 |
| Last updated | Feb 4th, 2012 - about 12 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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