Cha, Jin S

Cha, Jin S is an sole proprietor health care provider with primary practice located at 9046 Columbia Ave , Munster IN 46321-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cha, Jin S can be contacted via phone (219) 836-1440.

Contact Information

Primary practice address
9046 Columbia Ave Munster IN 46321-2905
Fax: (219) 836-1490
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01024136A Indiana

Profile Details

NPI number 1851364517
LBN Legal business name Cha, Jin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Jan 28th, 2008 - about 16 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 1851364517 NPPES
Indiana MEDICAID 100168540A

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