Dr. In T Yoon
General Practice Physician
29 E Main St
Peru
, Indiana 46970-2210
Dr. In T Yoon
General Practice Physician
29 E Main St
Peru
, Indiana 46970-2210
(765) 473-5567
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. In T Yoon
- 29 E Main St
- Peru, IN
- Zip : 46970-2210
- Phone : (765) 473-5567
Second Address
- Dr. In T Yoon
- 29 E Main St
- Peru, IN
- Zip : 46970-2210
- Phone : (765) 473-5567
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 01030026 | IN |
National Provider Identifier
| NPI | 1043392426 |
|---|---|
| Provider Name | Dr. In T Yoon |
| First Address | Peru, IN 46970-2210 |
| Second Address | Peru, IN 46970-2210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 20/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100179330A | (05) | IN |
| B29153 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.