Back, Jungha
Back, Jungha is an sole proprietor health care provider with primary practice located at 1726 W 3Rd St , Montgomery AL 36106-1506. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Back, Jungha can be contacted via phone (334) 593-3932.Contact Information
Primary practice address
1726 W 3Rd St
Montgomery AL 36106-1506
Phone: (334) 593-3932
Fax: (334) 593-7715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 232077 | Alabama |
Profile Details
| NPI number | 1376250720 |
|---|---|
| LBN Legal business name | Back, Jungha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2022 |
| Last updated | Nov 3rd, 2022 - about 3 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 | 1376250720 | NPPES |
| Alabama | MEDICAID | 1225700230 | |
| Alabama | MEDICAID | 276390 |
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