Dacri-Kim, Sang Won
Dacri-Kim, Sang Won is an individual health care provider with primary practice located at 1970 Tamarack Rd. , Newark OH 43055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Dacri-Kim, Sang Won can be contacted via phone (740) 344-2452.Contact Information
Primary practice address
1970 Tamarack Rd.
Newark OH 43055
Phone: (740) 344-2452
Fax: (740) 522-7305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34006602 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 34006602 | Ohio |
Profile Details
| NPI number | 1043385529 |
|---|---|
| LBN Legal business name | Dacri-Kim, Sang Won |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Nov 23rd, 2010 - about 16 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 | 1043385529 | NPPES |
| Ohio | MEDICAID | 2028577 | |
| Ohio | Other | P00397004 |
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