Jung, Jay Soo

Jung, Jay Soo is an individual health care provider with primary practice located at 17Th & Chew Street , Allentown PA 18102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jung, Jay Soo can be contacted via phone (610) 402-9029.

Contact Information

Primary practice address
17Th & Chew Street Allentown PA 18102
Phone: (610) 402-9029
Fax: (610) 402-9029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD031217L Pennsylvania

Profile Details

NPI number 1063401610
LBN Legal business name Jung, Jay Soo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 9th, 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 1063401610 NPPES
Pennsylvania Other 095960 HIGHMARK
Pennsylvania Other 1010381 HIGHMARK
Pennsylvania Other 1010381 HIGHMARK
Pennsylvania Other 0040562000 HIGHMARK
Pennsylvania Other 00621943 HIGHMARK
Pennsylvania Other 0006219430002 HIGHMARK
Pennsylvania Other 000000093531 HIGHMARK
Pennsylvania Other 0095960 HIGHMARK

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