Yoon, Peter Kong-Woo

Yoon, Peter Kong-Woo is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 297A, Saint Louis MO 63141-8232. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Yoon, Peter Kong-Woo can be contacted via phone (314) 251-6364.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 297A Saint Louis MO 63141-8232
Phone: (314) 251-6364
Fax: (314) 251-7897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R3E52 Missouri

Profile Details

NPI number 1013917715
LBN Legal business name Yoon, Peter Kong-Woo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jun 28th, 2011 - about 15 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 1013917715 NPPES
Missouri Other 261839808 CHAMPUS
Missouri Other 06-01313 CHAMPUS
Missouri Other 261839808 CHAMPUS
Missouri Other P00663995 CHAMPUS
Missouri Other 119685 CHAMPUS
Missouri Other 102280 CHAMPUS
Missouri Other 261839808 CHAMPUS
Missouri Other 337533 CHAMPUS

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