Chung, Hack R

Chung, Hack R is an sole proprietor health care provider with primary practice located at 1400 Willow Ave Ste B1 , Elkins Park PA 19027-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Chung, Hack R can be contacted via phone (732) 447-3264.

Contact Information

Primary practice address
1400 Willow Ave Ste B1 Elkins Park PA 19027-3100
Phone: (732) 447-3264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD032058L Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD032058L Pennsylvania

Profile Details

NPI number 1144394859
LBN Legal business name Chung, Hack R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Sep 19th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144394859 NPPES
Pennsylvania MEDICAID 1012229190010
Pennsylvania MEDICAID 62158701

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