Jessie Soeun, is a
Student In An Organized Health Care Education/training Program based in Youngstown, Ohio. Jessie Soeun is licensed to practice in * (Not Available) (license number ) and his current practice location is
1044 Belmont Ave, Youngstown, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 480-3444.
NPI number for Jessie Soeun is 1497583066 and his current mailing address is Po Box 1790, Youngstown, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497583066.
Provider's Profile
| Full Name | Jessie Soeun |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1044 Belmont Ave, Youngstown, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497583066
- Provider Enumeration Date: 07/24/2024
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Jessie Soeun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497583066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN.441758 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessie Soeun is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessie Soeun,
Po Box 1790,
Youngstown, OH 44501-1790
Ph: (330) 480-3444 | Jessie Soeun,
1044 Belmont Ave,
Youngstown, OH 44504-1006
Ph: (330) 480-3444 |
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