Kwon, Chul Soo
Kwon, Chul Soo is an sole proprietor health care provider with primary practice located at 711 W 40Th St Ste 406, Baltimore MD 21211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kwon, Chul Soo can be contacted via phone (410) 235-2880.Contact Information
Primary practice address
711 W 40Th St Ste 406
Baltimore MD 21211
Phone: (410) 235-2880
Fax: (410) 465-1436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0018904 | Maryland |
Profile Details
| NPI number | 1417943309 |
|---|---|
| LBN Legal business name | Kwon, Chul Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jun 9th, 2019 - about 7 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 | 1417943309 | NPPES |
| Maryland | MEDICAID | 790521100 |
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