Chong, Tae Kae
Chong, Tae Kae is an individual health care provider with primary practice located at 2705 N Lebanon St Ste 315 , Lebanon IN 46052-8622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Chong, Tae Kae can be contacted via phone (765) 485-8855.Contact Information
Primary practice address
2705 N Lebanon St Ste 315
Lebanon IN 46052-8622
Phone: (765) 485-8855
Fax: (765) 485-8850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01039705A | Indiana |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01039705A | Indiana |
Profile Details
| NPI number | 1548255318 |
|---|---|
| LBN Legal business name | Chong, Tae Kae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Oct 10th, 2023 - about 2 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 | 1548255318 | NPPES |
| Indiana | MEDICAID | 100363470 |
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