Baek, Michael Seungjun
Baek, Michael Seungjun is an sole proprietor health care provider with primary practice located at 2300 Opitz Blvd Ste G-209 , Woodbridge VA 22191-3311. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Baek, Michael Seungjun can be contacted via phone (703) 523-0611.Contact Information
Primary practice address
2300 Opitz Blvd Ste G-209
Woodbridge VA 22191-3311
Phone: (703) 523-0611
Fax: (703) 670-2089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101260492 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0116026404 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101260492 | Virginia |
Profile Details
| NPI number | 1215377742 |
|---|---|
| LBN Legal business name | Baek, Michael Seungjun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2013 |
| Last updated | Jan 27th, 2023 - 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 | 1215377742 | NPPES |
| Virginia | Other | 207Q00000X | FAMILY MEDICINE |
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