Kim, Jay J
Kim, Jay J is an individual health care provider with primary practice located at 730 W Market St Ste 2K , Lima OH 45801-4602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kim, Jay J can be contacted via phone (419) 996-4011.Contact Information
Primary practice address
730 W Market St Ste 2K
Lima OH 45801-4602
Phone: (419) 996-4011
Fax: (419) 996-4012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 18287 | West Virginia |
Profile Details
| NPI number | 1821077553 |
|---|---|
| LBN Legal business name | Kim, Jay J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Nov 5th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821077553 | NPPES |
| Ohio | Other | 2493789 | OH MEDICAID MOLINA |
| Ohio | Other | 000000433626 | OH MEDICAID MOLINA |
| Ohio | Other | 310917085258 | OH MEDICAID MOLINA |
| Ohio | MEDICAID | 0129081000 | OH MEDICAID MOLINA |
| Ohio | MEDICAID | 2493789 | OH MEDICAID MOLINA |
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