Organization
SOUTHERN OHIO NP CARE, LLC
Active
Other names
Urgent Care and Internal Medicine of West Jefferson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC JAMES YOON APN (OWNER/PRACTITIONER)
(937) 790-0969
Entity
Organization
Contact information
Practice address
95 MAIN ST, WEST JEFFERSON, OH 43162-1178
(614) 879-7100
(614) 879-7151
Mailing address
40 N LAKESHORE DR, SPRINGBORO, OH 45066-8125
(937) 790-0969
(937) 748-8379
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073751673
ANTHEM
OH
05
—
2926454
—
OH
01
—
29654672700
BUREAU OF WORMAN'S COMPENSATION
OH
01
—
9110306
AETNA
OH
Enumeration date
02/04/2009
Last updated
07/31/2013
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