Paik, Do Ji

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

Contact Information

Primary practice address
5454 Hohman Ave Hammond IN 46320-1931
Fax: (219) 738-6714
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 01027462 Indiana

Profile Details

NPI number 1871582122
LBN Legal business name Paik, Do Ji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jan 25th, 2012 - about 12 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 1871582122 NPPES
Indiana MEDICAID 100361380

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