Chung, Edward
Chung, Edward is an individual health care provider with primary practice located at 3333 Silas Creek Parkway , Winston-Salem NC 27103-3013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Chung, Edward can be contacted via phone (336) 718-7080.Contact Information
Primary practice address
3333 Silas Creek Parkway
Winston-Salem NC 27103-3013
Phone: (336) 718-7080
Fax: (336) 718-9622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200100662 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 200100662 | North Carolina |
Profile Details
| NPI number | 1174510804 |
|---|---|
| LBN Legal business name | Chung, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Oct 25th, 2020 - about 5 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 | 1174510804 | NPPES |
| North Carolina | MEDICAID | 89132F2 | |
| North Carolina | MEDICAID | N00663 | |
| North Carolina | Other | 1174510804 | |
| North Carolina | Other | 132F2 | |
| North Carolina | Other | 1174510804 | |
| North Carolina | Other | 110238891 |
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