Chung, Mark Wr

Chung, Mark Wr is an individual health care provider with primary practice located at 40 Aulike St Suite 412, Kailua HI 96734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chung, Mark Wr can be contacted via phone (808) 262-2424.

Contact Information

Primary practice address
40 Aulike St Suite 412 Kailua HI 96734
Phone: (808) 262-2424
Fax: (808) 263-4882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4560 Hawaii

Profile Details

NPI number 1972673416
LBN Legal business name Chung, Mark Wr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated May 20th, 2012 - about 13 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 1972673416 NPPES
Hawaii Other 4560 HMSA
Hawaii MEDICAID 01592702 HMSA
Hawaii Other 17095 HMSA

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