Yang, Chul Jo
Yang, Chul Jo is an individual health care provider with primary practice located at 115 Genesee St , New Hartford NY 13413-2323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Yang, Chul Jo can be contacted via phone (315) 724-1410.Contact Information
Primary practice address
115 Genesee St
New Hartford NY 13413-2323
Phone: (315) 724-1410
Fax: (315) 724-1449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 113888 | New York |
Profile Details
| NPI number | 1861495939 |
|---|---|
| LBN Legal business name | Yang, Chul Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 21st, 2009 - about 16 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 | 1861495939 | NPPES |
| Other | 495012 | MVP | |
| MEDICAID | 00208186 | MVP |
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