Cha, Byung Kwon

Cha, Byung Kwon is an individual health care provider with primary practice located at 1401 Silver Lake Rd Nw Suite 4, New Brighton MN 55112-9307. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cha, Byung Kwon can be contacted via phone (651) 631-0093.

Contact Information

Primary practice address
1401 Silver Lake Rd Nw Suite 4 New Brighton MN 55112-9307
Fax: (651) 631-9699
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC3927 Minnesota

Profile Details

NPI number 1669565560
LBN Legal business name Cha, Byung Kwon
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 15th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669565560 NPPES
Minnesota MEDICAID 302120300

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