Chung, Richard Tam

Chung, Richard Tam is an sole proprietor health care provider with primary practice located at 500 Nw Vesper St , Blue Springs MO 64014-2744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chung, Richard Tam can be contacted via phone (816) 229-9411.

Contact Information

Primary practice address
500 Nw Vesper St Blue Springs MO 64014-2744
Phone: (816) 229-9411
Fax: (816) 229-9411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34226 Missouri

Profile Details

NPI number 1104981026
LBN Legal business name Chung, Richard Tam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Feb 23rd, 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 1104981026 NPPES
Other 025461 BCBS KS
Other 111077615 BCBS KS
Other 02067022 BCBS KS
MEDICAID 200179109 BCBS KS

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