Shin, Sook-Ja
Shin, Sook-Ja is an sole proprietor health care provider with primary practice located at 1805 Medical Center Dr , San Bernardino CA 92411-1217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Shin, Sook-Ja can be contacted via phone (909) 887-6333.Contact Information
Primary practice address
1805 Medical Center Dr
San Bernardino CA 92411-1217
Phone: (909) 887-6333
Fax: (909) 806-1017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A37091 | California |
Profile Details
| NPI number | 1881641892 |
|---|---|
| LBN Legal business name | Shin, Sook-Ja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Apr 9th, 2014 - about 12 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 | 1881641892 | NPPES |
| California | MEDICAID | 00A370910 |
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