Chung, Jey-Dea

Chung, Jey-Dea is an individual health care provider with primary practice located at 2900 Lamb Cir Ste 340, Christiansburg VA 24073-6344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chung, Jey-Dea can be contacted via phone (866) 224-2413.

Contact Information

Primary practice address
2900 Lamb Cir Ste 340 Christiansburg VA 24073-6344
Fax: (540) 776-0699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101026099 Virginia

Profile Details

NPI number 1003819814
LBN Legal business name Chung, Jey-Dea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 26th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003819814 NPPES
Virginia MEDICAID 5793831

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