Yoon, Jangyeul
Yoon, Jangyeul is an individual health care provider with primary practice located at 10807 Main St Ste 200 , Fairfax VA 22030-4730. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Yoon, Jangyeul can be contacted via phone (703) 261-6999.Contact Information
Primary practice address
10807 Main St Ste 200
Fairfax VA 22030-4730
Phone: (703) 261-6999
Fax: (703) 349-2575
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DS035289 | Pennsylvania |
Profile Details
NPI number | 1538100748 |
---|---|
LBN Legal business name | Yoon, Jangyeul |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2006 |
Last updated | Oct 16th, 2008 - 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 | 1538100748 | NPPES |
Pennsylvania | MEDICAID | 001900640 | |
Pennsylvania | Other | 01388616 | |
Pennsylvania | Other | 106688 | |
Pennsylvania | Other | 132759 | |
Pennsylvania | Other | 0015943 | |
Pennsylvania | Other | DS035289 |
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