Yoon, Peter Kong-Woo
Yoon, Peter Kong-Woo is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 297A, Saint Louis MO 63141-8232. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Yoon, Peter Kong-Woo can be contacted via phone (314) 251-6364.Contact Information
Primary practice address
621 S New Ballas Rd Ste 297A
Saint Louis MO 63141-8232
Phone: (314) 251-6364
Fax: (314) 251-7897
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | R3E52 | Missouri |
Profile Details
NPI number | 1013917715 |
---|---|
LBN Legal business name | Yoon, Peter Kong-Woo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2005 |
Last updated | Jun 28th, 2011 - about 13 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 | 1013917715 | NPPES |
Missouri | Other | 261839808 | CHAMPUS |
Missouri | Other | 06-01313 | CHAMPUS |
Missouri | Other | 261839808 | CHAMPUS |
Missouri | Other | P00663995 | CHAMPUS |
Missouri | Other | 119685 | CHAMPUS |
Missouri | Other | 102280 | CHAMPUS |
Missouri | Other | 261839808 | CHAMPUS |
Missouri | Other | 337533 | CHAMPUS |
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