So, Yong Soo
So, Yong Soo is an sole proprietor health care provider with primary practice located at 22001 Kelly Rd , Eastpointe MI 48021-2708. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. So, Yong Soo can be contacted via phone (586) 778-0209.Contact Information
Primary practice address
22001 Kelly Rd
Eastpointe MI 48021-2708
Phone: (586) 778-0209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | YS037124 | Michigan |
Profile Details
| NPI number | 1073708046 |
|---|---|
| LBN Legal business name | So, Yong Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Sep 23rd, 2007 - about 18 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 | 1073708046 | NPPES |
| Michigan | MEDICAID | 4641238 |
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