Shin, Jae Yoon
Shin, Jae Yoon is an sole proprietor health care provider with primary practice located at 4220 27Th St Apt 515 , Long Island City NY 11101-8618. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Shin, Jae Yoon can be contacted via phone (267) 269-7127.Contact Information
Primary practice address
4220 27Th St Apt 515
Long Island City NY 11101-8618
Phone: (267) 269-7127
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N00721001 | New York |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD001311 | Georgia |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 25MD00365800 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00365800 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 25MD00365800 | New Jersey |
Profile Details
| NPI number | 1396088803 |
|---|---|
| LBN Legal business name | Shin, Jae Yoon |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2013 |
| Last updated | Feb 1st, 2022 - about 3 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 | 1396088803 | NPPES |
| New Jersey | Other | 25MD00365800 | PODIATRIC LICENSE |
| New Jersey | Other | POD001311 | PODIATRIC LICENSE |
| New Jersey | Other | N007210-01 | PODIATRIC LICENSE |
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