O, Seung-Jun

O, Seung-Jun is an sole proprietor health care provider with primary practice located at 2097 Henry Tecklenburg Dr Suite 211 West, Charleston SC 29414-5740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. O, Seung-Jun can be contacted via phone (843) 573-3456.

Contact Information

Primary practice address
2097 Henry Tecklenburg Dr Suite 211 West Charleston SC 29414-5740
Phone: (843) 573-3456
Fax: (843) 573-3465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 17305 South Carolina

Profile Details

NPI number 1215042155
LBN Legal business name O, Seung-Jun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Nov 5th, 2008 - about 16 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 1215042155 NPPES
South Carolina MEDICAID 173056

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