Lee, Soo Jung
Lee, Soo Jung is an individual health care provider with primary practice located at 1125 7Th Ave , Beaver Falls PA 15010-4426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lee, Soo Jung can be contacted via phone (724) 773-8980.Contact Information
Primary practice address
1125 7Th Ave
Beaver Falls PA 15010-4426
Phone: (724) 773-8980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200401527 | North Carolina |
Profile Details
| NPI number | 1720007487 |
|---|---|
| LBN Legal business name | Lee, Soo Jung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jun 10th, 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 | 1720007487 | NPPES |
| North Carolina | MEDICAID | 5904420 |
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