<Unavail>
LBN: Wonsock Shin Md Llc
<Unavail> is an health care organization with primary practice located at 410 Pine St Se Suite 200, Vienna VA 22180-4861. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Wonsock Shin Md Llc can be contacted via phone (703) 865-8615, or through Shin, Wonsock via phone (703) 865-8615.
Contact Information
Primary practice address
410 Pine St Se Suite 200
Vienna VA 22180-4861
Phone: (703) 865-8615
Fax: (301) 777-7455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X |
Profile Details
| NPI number | 1972599249 |
|---|---|
| LBN Legal business name | Wonsock Shin Md Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Shin, Wonsock Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Nov 14th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972599249 | NPPES |
| Other | 891935 | MAMSI ID | |
| MEDICAID | 363200800 | MAMSI ID | |
| Other | LP49CH | MAMSI ID | |
| Other | 9795404002 | MAMSI ID |
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