Chun, Jordan S D Y

Chun, Jordan S D Y is an individual health care provider with primary practice located at 275 Bronson Way Ne , Renton WA 98056-4030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Chun, Jordan S D Y can be contacted via phone (425) 235-2808.

Contact Information

Primary practice address
275 Bronson Way Ne Renton WA 98056-4030
Phone: (425) 235-2808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD-14369 Hawaii
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD00046662 Washington

Profile Details

NPI number 1659487056
LBN Legal business name Chun, Jordan S D Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659487056 NPPES
Hawaii MEDICAID 599318-02
Hawaii Other 0000269092
Hawaii MEDICAID 8554875

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