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Contact Information

DAESONG YIM, PH.D., LAC
1500 AIRPORT WAY # A
FAIRBANKS, AK99701-4002
 Phone: 907-456-2100
 Fax: 907-456-2472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for DAESONG YIM · (Male)

NPI Number 1053568782
Status Active
Credentials PH.D., LAC
Entity Individual
Enumeration date 08/25/2008
Last updated 09/10/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 117
  • WA License # AC00003084
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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