Kim, John Jong

Kim, John Jong is an individual health care provider with primary practice located at 10095 Ward Rd , Dunkirk MD 20754-2731. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kim, John Jong can be contacted via phone (410) 257-0191.

Contact Information

Primary practice address
10095 Ward Rd Dunkirk MD 20754-2731
Phone: (410) 257-0191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 25370 Maryland

Profile Details

NPI number 1578047684
LBN Legal business name Kim, John Jong
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2018
Last updated Sep 25th, 2018 - about 8 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 1578047684 NPPES
Maryland MEDICAID 11378339250

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