Individual
JAIMIE YUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4698 CEMETERY RD, HILLIARD, OH 43026-1124
(614) 771-7100
(614) 771-6174
Mailing address
PO BOX 27940, COLUMBUS, OH 43227-0940
(614) 239-0399
(614) 237-5220
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-2835
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171700
—
OH
01
—
YU0791814
MEDICARE PTAN
OH
Enumeration date
08/31/2005
Last updated
09/19/2011
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