Yi, Im S

Yi, Im S is an individual health care provider with primary practice located at 26004 104Th Ave Se , Kent WA 98030-7677. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Yi, Im S can be contacted via phone (425) 251-4040.

Contact Information

Primary practice address
26004 104Th Ave Se Kent WA 98030-7677
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01055784 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00047267 Washington

Profile Details

NPI number 1992796650
LBN Legal business name Yi, Im S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated May 12th, 2021 - about 5 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 1992796650 NPPES
Washington MEDICAID 8497141
Washington Other 000000373612

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