Chun, Jennifer

Chun, Jennifer is an individual health care provider with primary practice located at 100 River Pl Ste 110 , Monona WI 53716. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Chun, Jennifer can be contacted via phone (608) 222-6160.

Contact Information

Primary practice address
100 River Pl Ste 110 Monona WI 53716
Phone: (608) 222-6160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 1001780-15 Wisconsin

Profile Details

NPI number 1982906525
LBN Legal business name Chun, Jennifer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2010
Last updated Dec 6th, 2018 - about 7 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 1982906525 NPPES
Wisconsin MEDICAID 1982906525

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