Jeon, Hoonbae
Jeon, Hoonbae is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Jeon, Hoonbae can be contacted via phone (414) 646-2550.Contact Information
Primary practice address
2900 W Oklahoma Ave
Milwaukee WI 53215-4330
Phone: (414) 646-2550
Fax: (414) 646-6314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 304568 | Louisiana |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 86129 | Wisconsin |
Profile Details
| NPI number | 1881652352 |
|---|---|
| LBN Legal business name | Jeon, Hoonbae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Nov 6th, 2025 - about last year |
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 | 1881652352 | NPPES |
| Louisiana | MEDICAID | 2437488 | |
| Louisiana | MEDICAID | 100372317 | |
| Louisiana | Other | 565156YJB9 |
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