Chung, Clara K
Chung, Clara K is an individual health care provider with primary practice located at 3125 Independence Dr Suite 210, Birmingham AL 35209-4159. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Chung, Clara K can be contacted via phone (205) 943-1197.Contact Information
Primary practice address
3125 Independence Dr Suite 210
Birmingham AL 35209-4159
Phone: (205) 943-1197
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16114 | Alabama |
Profile Details
| NPI number | 1972575918 |
|---|---|
| LBN Legal business name | Chung, Clara K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Mar 2nd, 2011 - 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 | 1972575918 | NPPES |
| Alabama | MEDICAID | 009982440 | |
| Alabama | Other | 51537273 |
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