Chun, Jennie W
Chun, Jennie W is an sole proprietor health care provider with primary practice located at 1874 N Placentia Ave , Placentia CA 92870. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chun, Jennie W can be contacted via phone (714) 996-3937.Contact Information
Primary practice address
1874 N Placentia Ave
Placentia CA 92870
Phone: (714) 996-3937
Fax: (714) 996-3938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10716T | California |
Profile Details
| NPI number | 1558392985 |
|---|---|
| LBN Legal business name | Chun, Jennie W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Feb 7th, 2012 - about 12 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 | 1558392985 | NPPES |
| California | MEDICAID | SD0107160 |
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