Ahn, Joong Mo
Ahn, Joong Mo is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ahn, Joong Mo can be contacted via phone (717) 531-6597.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (717) 531-6597
Fax: (717) 531-7790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD444420 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | SP 160 | Iowa |
Profile Details
| NPI number | 1851389738 |
|---|---|
| LBN Legal business name | Ahn, Joong Mo |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Aug 23rd, 2024 - about 2 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 | 1851389738 | NPPES |
| Iowa | Other | 24492 | WELLMARK BCBS |
| Iowa | MEDICAID | 0438234 | WELLMARK BCBS |
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