Individual
DR. JIP J YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 N JOHN F KENNEDY AVE, LOOGOOTEE, IN 47553-1219
(812) 295-2380
(812) 295-2215
Mailing address
404 N JOHN F KENNEDY AVE, LOOGOOTEE, IN 47553-1219
(812) 295-2380
(812) 295-2215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038083
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159120
—
IN
01
—
311066904
FEDERAL TAX ID NO
IN
Enumeration date
05/28/2005
Last updated
12/22/2009
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