Jeong, Mike Y

Jeong, Mike Y is an individual health care provider with primary practice located at 7391 W Charleston Blvd Suite 140, Las Vegas NV 89117-1501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Jeong, Mike Y can be contacted via phone (702) 304-2144.

Contact Information

Primary practice address
7391 W Charleston Blvd Suite 140 Las Vegas NV 89117-1501
Phone: (702) 304-2144
Fax: (702) 304-2147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 1024 Nevada
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1024 Nevada

Profile Details

NPI number 1144251075
LBN Legal business name Jeong, Mike Y
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Feb 20th, 2018 - about 8 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 1144251075 NPPES
Nevada MEDICAID 002018471

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