Yoon, Chang Goo

Yoon, Chang Goo is an individual health care provider with primary practice located at 44 Washington St Suite 104, Brookline MA 02445-7130. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Yoon, Chang Goo can be contacted via phone (617) 731-1004.

Contact Information

Primary practice address
44 Washington St Suite 104 Brookline MA 02445-7130
Phone: (617) 731-1004
Fax: (617) 731-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 18660 Massachusetts

Profile Details

NPI number 1538169552
LBN Legal business name Yoon, Chang Goo
Credentials P.T.,DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Oct 13th, 2015 - about 10 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 1538169552 NPPES
District of Columbia Other 0936 BCBS

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