Chung, Mark Lee
Chung, Mark Lee is an sole proprietor health care provider with primary practice located at 50 Holyoke St , Holyoke MA 01040-2709. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chung, Mark Lee can be contacted via phone (415) 538-7400.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20973 | Massachusetts |
Profile Details
| NPI number | 1386797462 |
|---|---|
| LBN Legal business name | Chung, Mark Lee |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1386797462 | NPPES |
| Massachusetts | MEDICAID | 0203033 |
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