Chung, Ellen M
Chung, Ellen M is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Chung, Ellen M can be contacted via phone (614) 722-6200.Contact Information
Primary practice address
700 Childrens Dr
Columbus OH 43205-2664
Phone: (614) 722-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35.135784 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 35.135784 | Ohio |
Profile Details
| NPI number | 1457335515 |
|---|---|
| LBN Legal business name | Chung, Ellen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | May 19th, 2022 - 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 | 1457335515 | NPPES |
| Ohio | MEDICAID | 0353802 | |
| Ohio | Other | H739470 |
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