Suh, Eun Jung

Suh, Eun Jung is an individual health care provider with primary practice located at 101 College St , Clinton NY 13323-1634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Suh, Eun Jung can be contacted via phone (315) 853-5532.

Contact Information

Primary practice address
101 College St Clinton NY 13323-1634
Phone: (315) 853-5532
Fax: (315) 853-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F340213 New York

Profile Details

NPI number 1144623513
LBN Legal business name Suh, Eun Jung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Aug 17th, 2016 - about 9 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 1144623513 NPPES
New York MEDICAID 04393633

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