Joe, Sungnam

Joe, Sungnam is an sole proprietor health care provider with primary practice located at 2226 Hualapai Mountain Rd , Kingman AZ 86401-8374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Joe, Sungnam can be contacted via phone (928) 681-8530.

Contact Information

Primary practice address
2226 Hualapai Mountain Rd Kingman AZ 86401-8374
Phone: (928) 681-8530
Fax: (928) 681-8714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24593 Arizona

Profile Details

NPI number 1376538389
LBN Legal business name Joe, Sungnam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Mar 9th, 2024 - about 2 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 1376538389 NPPES
Arizona Other 24593 LICENSE
Arizona MEDICAID 363151 LICENSE

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