Kim, Hack Jae

Kim, Hack Jae is an individual health care provider with primary practice located at 2680 S Val Vista Dr Ste 116 , Gilbert AZ 85295-2154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Kim, Hack Jae can be contacted via phone (480) 507-5678.

Contact Information

Primary practice address
2680 S Val Vista Dr Ste 116 Gilbert AZ 85295-2154
Phone: (480) 507-5678
Fax: (480) 507-5677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 32877 Arizona
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X 32877 Arizona

Profile Details

NPI number 1588647044
LBN Legal business name Kim, Hack Jae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Mar 7th, 2014 - about 11 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 1588647044 NPPES
Arizona MEDICAID 865123

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