Yong Soo So, M.D., P.C.

LBN: Yong Soo So, M.D., P.C.
Yong Soo So, M.D., P.C. is an health care organization with primary practice located at 22001 Kelly Rd , Eastpointe MI 48021-2708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Yong Soo So, M.D., P.C. can be contacted via phone (586) 778-0209, or through So, Yong Soo via phone (586) 778-0209.

Contact Information

Primary practice address
22001 Kelly Rd Eastpointe MI 48021-2708
Phone: (586) 778-0209
Fax: (586) 778-0202
Website:
Map and Directions
Authorized official contact:
Name: So, Yong Soo Doctor of Medicine (MD)
Phone: (586) 778-0209

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X YS037124 Michigan

Profile Details

NPI number 1356405294
LBN Legal business name Yong Soo So, M.D., P.C.
DBA Doing business as
Authorized official So, Yong Soo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356405294 NPPES
Michigan MEDICAID 4641238

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