Cha, Jisun
Cha, Jisun is an sole proprietor health care provider with primary practice located at 65 Broadway Ste 1606 , New York NY 10006-2562. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Cha, Jisun can be contacted via phone (267) 737-8655.Contact Information
Primary practice address
65 Broadway Ste 1606
New York NY 10006-2562
Phone: (267) 737-8655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD465852 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD12915 | Rhode Island |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA09071200 | New Jersey |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 266475 | New York |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 25MA09071200 | New Jersey |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MA09071200 | Rhode Island |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD465852 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 266475 | New York |
Profile Details
| NPI number | 1194950683 |
|---|---|
| LBN Legal business name | Cha, Jisun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2009 |
| Last updated | Sep 23rd, 2021 - about 4 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 | 1194950683 | NPPES |
| New Jersey | MEDICAID | 0315176 |
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