Yoon, Samuel C

Yoon, Samuel C is an individual health care provider with primary practice located at 1417 Madison Park Dr , Glen Burnie MD 21061-5613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Yoon, Samuel C can be contacted via phone (410) 768-6600.

Contact Information

Primary practice address
1417 Madison Park Dr Glen Burnie MD 21061-5613
Fax: (410) 768-3132
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D58568 Maryland

Profile Details

NPI number 1124010244
LBN Legal business name Yoon, Samuel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 19th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124010244 NPPES
Maryland Other 060068541 RAILROAD MEDICARE
Maryland MEDICAID 295050200 RAILROAD MEDICARE

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