Chung, Shane Oliver

Chung, Shane Oliver is an individual health care provider with primary practice located at 302 Warren Street Apt 3 , Norfolk VA 23505. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Chung, Shane Oliver can be contacted via phone (914) 612-3554.

Contact Information

Primary practice address
302 Warren Street Apt 3 Norfolk VA 23505
Phone: (914) 612-3554
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1336377688
LBN Legal business name Chung, Shane Oliver
Credentials SFIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jun 25th, 2009 - about 15 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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