Chung, Aerie
Chung, Aerie is an sole proprietor health care provider with primary practice located at 3838 N Main St Ste 1C , Mishawaka IN 46545-3100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Chung, Aerie can be contacted via phone (574) 404-3980.Contact Information
Primary practice address
3838 N Main St Ste 1C
Mishawaka IN 46545-3100
Phone: (574) 404-3980
Fax: (574) 931-8601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301091941 | Michigan |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 18339 | Wisconsin |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 01072481A | Indiana |
Profile Details
| NPI number | 1992960850 |
|---|---|
| LBN Legal business name | Chung, Aerie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2008 |
| Last updated | Jul 1st, 2023 - about 2 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 | 1992960850 | NPPES |
| Indiana | Other | P01703901 | RR MEDICARE |
| Indiana | Other | 1877200008 | RR MEDICARE |
| Indiana | MEDICAID | 201163410 | RR MEDICARE |
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