Shin, Se Jung

Shin, Se Jung is an sole proprietor health care provider with primary practice located at 10555 Se Carr Rd Bldg M , Renton WA 98055-5820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shin, Se Jung can be contacted via phone (425) 656-4270.

Contact Information

Primary practice address
10555 Se Carr Rd Bldg M Renton WA 98055-5820
Phone: (425) 656-4270
Fax: (425) 656-4271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD22180 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00038373 Washington

Profile Details

NPI number 1881665099
LBN Legal business name Shin, Se Jung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Apr 30th, 2018 - about 6 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 1881665099 NPPES
Oregon MEDICAID 130308
Oregon Other G8959946
Oregon MEDICAID 2065309

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