Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ikjoon Shin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417843517

Ikjoon Shin is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

930 20th St S
Birmingham, AL 35205-2610
Phone: (205) 934-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417843517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address930 20th St S, Birmingham, AL 35205-2610

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