Joo, Evan Gee Young

Joo, Evan Gee Young is an individual health care provider with primary practice located at 215 Main St , Fort Lee NJ 07024-5701. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Joo, Evan Gee Young can be contacted via phone (201) 944-9889.

Contact Information

Primary practice address
215 Main St Fort Lee NJ 07024-5701
Phone: (201) 944-9889
Fax: (201) 944-9989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00581500 New Jersey

Profile Details

NPI number 1255536736
LBN Legal business name Joo, Evan Gee Young
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jul 8th, 2007 - about 19 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 1255536736 NPPES
New Jersey MEDICAID 0053520

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