Chun, Thomas

Chun, Thomas is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Chun, Thomas can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD08842 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD08842 Rhode Island

Profile Details

NPI number 1811911753
LBN Legal business name Chun, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 17th, 2013 - about 11 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 1811911753 NPPES
Rhode Island Other 370015288 RAILROAD MEDICARE
Rhode Island MEDICAID 3197832 RAILROAD MEDICARE
Rhode Island Other 01/11/2007 RAILROAD MEDICARE
Rhode Island Other 939025129 RAILROAD MEDICARE
Rhode Island Other 12/29/2008 RAILROAD MEDICARE
Rhode Island Other 1811911753 RAILROAD MEDICARE
Rhode Island MEDICAID 7007368 RAILROAD MEDICARE

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