Yi, Won Sam
Yi, Won Sam is an individual health care provider with primary practice located at 350 N Grandview Ave , Dubuque IA 52001-6388. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Therapeutic Radiology is his primary health care specialty. Yi, Won Sam can be contacted via phone (563) 556-3944.Contact Information
Primary practice address
350 N Grandview Ave
Dubuque IA 52001-6388
Phone: (563) 556-3944
Fax: (563) 594-5256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME137717 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME137717 | Florida |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 240628 | New York |
Profile Details
| NPI number | 1306869417 |
|---|---|
| LBN Legal business name | Yi, Won Sam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 15th, 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 | 1306869417 | NPPES |
| New York | Other | 000528637003 | BLUE CROSS BLUE SHIELD WNY |
| New York | Other | 3713862 | BLUE CROSS BLUE SHIELD WNY |
| New York | Other | 00027662801 | BLUE CROSS BLUE SHIELD WNY |
| New York | MEDICAID | 02777448 | BLUE CROSS BLUE SHIELD WNY |
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