Kwon, Soojung

Kwon, Soojung is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kwon, Soojung can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 043249 Connecticut
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 043249 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01077113A Indiana

Profile Details

NPI number 1083683320
LBN Legal business name Kwon, Soojung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jan 5th, 2017 - about 7 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 1083683320 NPPES
Indiana MEDICAID 201373820
Indiana MEDICAID 001432492
Indiana Other 000001029107

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