Chun, Yoon-Taek
Chun, Yoon-Taek is an sole proprietor health care provider with primary practice located at 263 Prospect St , E Stroudsburg PA 18301-2943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Chun, Yoon-Taek can be contacted via phone (570) 421-3575.Contact Information
Primary practice address
263 Prospect St
E Stroudsburg PA 18301-2943
Phone: (570) 421-3575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD030828E | Pennsylvania |
Profile Details
| NPI number | 1134120496 |
|---|---|
| LBN Legal business name | Chun, Yoon-Taek |
| Credentials | M.D.,FAAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Apr 18th, 2012 - about 13 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 | 1134120496 | NPPES |
| Pennsylvania | MEDICAID | 00947786 |
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