Yi, Ju Yon Sophie
Yi, Ju Yon Sophie is an sole proprietor health care provider with primary practice located at 450 Nw Gilman Blvd Ste 101 , Issaquah WA 98027-2483. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Yi, Ju Yon Sophie can be contacted via phone (425) 961-9600.Contact Information
Primary practice address
450 Nw Gilman Blvd Ste 101
Issaquah WA 98027-2483
Phone: (425) 961-9600
Fax: (425) 961-9601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | MD60287405 | Washington |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DE60286345 | Washington |
Profile Details
| NPI number | 1447461173 |
|---|---|
| LBN Legal business name | Yi, Ju Yon Sophie |
| Credentials | MD, DDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Nov 6th, 2018 - about 6 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 | 1447461173 | NPPES |
| Washington | MEDICAID | 2033733 |
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