Yi, Hae Suk
Yi, Hae Suk is an sole proprietor health care provider with primary practice located at 738 S Waterman Ave Ste A23 , San Bernardino CA 92408-2362. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Yi, Hae Suk can be contacted via phone (909) 381-8017.Contact Information
Primary practice address
738 S Waterman Ave Ste A23
San Bernardino CA 92408-2362
Phone: (909) 381-8017
Fax: (909) 381-9828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC2436 | California |
Profile Details
| NPI number | 1508980079 |
|---|---|
| LBN Legal business name | Yi, Hae Suk |
| Credentials | C.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1508980079 | NPPES |
| California | Other | AC0024360 | MEDICAL |
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