Koo, Jessica H.

Koo, Jessica H. is an sole proprietor health care provider with primary practice located at 8001 Broadway , Merrillville IN 46410-5500. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Koo, Jessica H. can be contacted via phone (219) 736-8067.

Contact Information

Primary practice address
8001 Broadway Merrillville IN 46410-5500
Phone: (219) 736-8067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26016170A Indiana
Pharmacy Service Providers / Pharmacist 183500000X 051037814 Illinois

Profile Details

NPI number 1881966992
LBN Legal business name Koo, Jessica H.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2012
Last updated Feb 4th, 2012 - about 14 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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