Chung, Michael Sung
Chung, Michael Sung is an individual health care provider with primary practice located at 2826 Old Lee Hwy Suite 200, Fairfax VA 22031-4323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Chung, Michael Sung can be contacted via phone (703) 206-0026.Contact Information
Primary practice address
2826 Old Lee Hwy Suite 200
Fairfax VA 22031-4323
Phone: (703) 206-0026
Fax: (703) 206-0029
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 0101055898 | Virginia |
Profile Details
NPI number | 1013948462 |
---|---|
LBN Legal business name | Chung, Michael Sung |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Jul 31st, 2015 - about 10 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 | 1013948462 | NPPES |
Maryland | MEDICAID | 495211100 | |
Maryland | MEDICAID | 6802117 |
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