Suh, Jason J

Suh, Jason J is an individual health care provider with primary practice located at 748 14Th Ave , Longview WA 98632-2315. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Suh, Jason J can be contacted via phone (360) 501-3601.

Contact Information

Primary practice address
748 14Th Ave Longview WA 98632-2315
Phone: (360) 501-3601
Fax: (360) 501-3648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00034987 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD00034987 Washington

Profile Details

NPI number 1437150976
LBN Legal business name Suh, Jason J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 16th, 2011 - about 13 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 1437150976 NPPES
Other 110197712 RR MEDICARE
Other 126462 RR MEDICARE
MEDICAID 150259 RR MEDICARE
MEDICAID 8209124 RR MEDICARE
Other 8923177 RR MEDICARE

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