Eun, Bong Soo

Eun, Bong Soo is an individual health care provider with primary practice located at 9702 Gayton Rd #181, Richmond VA 23238-4907. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Eun, Bong Soo can be contacted via phone (804) 741-7500.

Contact Information

Primary practice address
9702 Gayton Rd #181 Richmond VA 23238-4907
Phone: (804) 741-7500
Fax: (804) 741-7900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810001902 Virginia

Profile Details

NPI number 1124275664
LBN Legal business name Eun, Bong Soo
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2008
Last updated Aug 27th, 2008 - about 18 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 1124275664 NPPES
Virginia Other 0810001902 VIRGINIA STATE MEDICAL LICENSE

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