Kimmi, Ssung J
Kimmi, Ssung J is an sole proprietor health care provider with primary practice located at 12795 Sw 3Rd St. , Beaverton OR 97005. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kimmi, Ssung J can be contacted via phone (503) 641-4244.Contact Information
Primary practice address
12795 Sw 3Rd St.
Beaverton OR 97005
Phone: (503) 641-4244
Fax: (503) 641-0551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 273444 | Oregon |
| Chiropractic Providers / Chiropractor | 111N00000X | 3444 | Oregon |
Profile Details
| NPI number | 1912026196 |
|---|---|
| LBN Legal business name | Kimmi, Ssung J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Dec 8th, 2011 - about 15 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 | 1912026196 | NPPES |
| Oregon | Other | 858521000 | HEALTH INSURANCE PROVIDER |
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