Shon, Wonwoo
Shon, Wonwoo is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100275, Gainesville FL 32610-0275. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Shon, Wonwoo can be contacted via phone (352) 273-7841.Contact Information
Primary practice address
1600 Sw Archer Rd Box 100275
Gainesville FL 32610-0275
Phone: (352) 273-7841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 52067 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 52067 | Minnesota |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | OS12056 | Florida |
Profile Details
| NPI number | 1982868329 |
|---|---|
| LBN Legal business name | Shon, Wonwoo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2008 |
| Last updated | Aug 6th, 2013 - about 11 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 | 1982868329 | NPPES |
| Florida | MEDICAID | 008876900 | |
| Florida | MEDICAID | ENROLLED |
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