Cheung, Fred K

Cheung, Fred K is an sole proprietor health care provider with primary practice located at 1645 John F Kennedy Road , Dubuque IA 52002-5107. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cheung, Fred K can be contacted via phone (563) 556-6383.

Contact Information

Primary practice address
1645 John F Kennedy Road Dubuque IA 52002-5107
Phone: (563) 556-6383
Fax: (563) 556-0461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 06051 Iowa
Dental Providers / Pediatric Dentistry 1223P0221X 2576-015 Wisconsin

Profile Details

NPI number 1154415651
LBN Legal business name Cheung, Fred K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 9th, 2007 - about 18 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 1154415651 NPPES
Wisconsin MEDICAID 33414200
Wisconsin MEDICAID 0159517

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