Cheongsiatmoy, Justin
Cheongsiatmoy, Justin is an sole proprietor health care provider with primary practice located at 24 S Weber St Ste 200 , Colorado Springs CO 80903-1928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Cheongsiatmoy, Justin can be contacted via phone (424) 652-8506.Contact Information
Primary practice address
24 S Weber St Ste 200
Colorado Springs CO 80903-1928
Phone: (424) 652-8506
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | A120867 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A120867 | California |
Profile Details
| NPI number | 1003187808 |
|---|---|
| LBN Legal business name | Cheongsiatmoy, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2012 |
| Last updated | Feb 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003187808 | NPPES |
| California | Other | A120867 | MEDICAL LICENSE |
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