Kim, Jason Minje

Kim, Jason Minje is an sole proprietor health care provider with primary practice located at 2100 Miller Park Way , West Milwaukee WI 53219-1641. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kim, Jason Minje can be contacted via phone (317) 965-9259.

Contact Information

Primary practice address
2100 Miller Park Way West Milwaukee WI 53219-1641
Phone: (317) 965-9259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 6001179-15 Wisconsin

Profile Details

NPI number 1407547151
LBN Legal business name Kim, Jason Minje
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2023
Last updated Jul 25th, 2023 - about 3 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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