La, Samuel Seungkwon

La, Samuel Seungkwon is an individual health care provider with primary practice located at 169 Martin Ave , Ephrata PA 17522-1734. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. La, Samuel Seungkwon can be contacted via phone (717) 738-6618.

Contact Information

Primary practice address
169 Martin Ave Ephrata PA 17522-1734
Phone: (717) 738-6618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L6998 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD483989 Pennsylvania
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X L6998 Texas
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X L6998 Texas
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X L6998 Texas

Profile Details

NPI number 1811948706
LBN Legal business name La, Samuel Seungkwon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jun 4th, 2024 - about 6 months 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 1811948706 NPPES
Texas Other L6998 TX PHYSICIANS PERMIT
Texas MEDICAID 165035001 TX PHYSICIANS PERMIT
Texas Other 8G8484 TX PHYSICIANS PERMIT

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