Bao, Christine Liqun
Bao, Christine Liqun is an sole proprietor health care provider with primary practice located at 777 W Peachtree St , Norcross GA 30071-1868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bao, Christine Liqun can be contacted via phone (770) 246-6100.Contact Information
Primary practice address
777 W Peachtree St
Norcross GA 30071-1868
Phone: (770) 246-6100
Fax: (770) 246-6142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 043539 | Georgia |
Profile Details
| NPI number | 1831175132 |
|---|---|
| LBN Legal business name | Bao, Christine Liqun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jun 23rd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831175132 | NPPES |
| Georgia | MEDICAID | 00753728H |
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