JANE HAE SOO SHIN DO MS
NPI 1881449338
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Jane Hae Soo Shin's NPI number?

The NPI number for Jane Hae Soo Shin is 1881449338. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Q: What is Jane Hae Soo Shin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jane Hae Soo Shin was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2024PECOS Enrolled

4201 SAINT ANTOINE ST STE 8C, DETROIT, MI 48201(313) 745-4275 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jane Hae Soo Shin Do Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANE HAE SOO SHIN DO MS (NPI 1881449338) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881449338

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJANE HAE SOO SHINCredential: DO MS

Location Address4201 SAINT ANTOINE ST STE 8CDetroit, MI 48201-2153

Mailing Address20000 N 57th Ave Rm H210Glendale, AZ 85308-6877 · (213) 503-6522

Phone(313) 745-4275

Sole ProprietorNo

Enumeration DateApril 18, 2024

NPPES CertifiedApril 18, 2024

✔ NPI 1881449338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 SAINT ANTOINE ST STE 8C, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Hae Soo Shin Do Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMAD EMARI DO