Chung, Jack Koji
Chung, Jack Koji is an individual health care provider with primary practice located at 374Th Medical Group Unit 5071 , Apo AP 96328-5071. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chung, Jack Koji can be contacted via phone (011) 814-2552.Contact Information
Primary practice address
374Th Medical Group Unit 5071
Apo AP 96328-5071
Phone: (011) 814-2552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019026052 | Illinois |
Profile Details
| NPI number | 1780665638 |
|---|---|
| LBN Legal business name | Chung, Jack Koji |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Oct 25th, 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.
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