Chae, Kyung Ai Mireille

Chae, Kyung Ai Mireille is an individual health care provider with primary practice located at 801 York St , Manitowoc WI 54220-4630. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Chae, Kyung Ai Mireille can be contacted via phone (920) 683-5278.

Contact Information

Primary practice address
801 York St Manitowoc WI 54220-4630
Phone: (920) 683-5278
Fax: (920) 686-9674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 67321-20 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 67321-20 Wisconsin
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 67321-20 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 67321-20 Wisconsin

Profile Details

NPI number 1932101060
LBN Legal business name Chae, Kyung Ai Mireille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 15th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932101060 NPPES
Minnesota MEDICAID 306311900

Popular Providers