Liu, Jong

Liu, Jong is an individual health care provider with primary practice located at 5454 S Hohman Ave , Hammond IN 46320-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Liu, Jong can be contacted via phone (219) 933-2006.

Contact Information

Primary practice address
5454 S Hohman Ave Hammond IN 46320-1931
Phone: (219) 933-2006
Fax: (219) 738-6714
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01062512 Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60837338 Washington

Profile Details

NPI number 1306952957
LBN Legal business name Liu, Jong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Dec 4th, 2019 - about 5 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 1306952957 NPPES
Indiana MEDICAID 200830810

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