Chung, Tae Joon
Chung, Tae Joon is an sole proprietor health care provider with primary practice located at 1830 Town Center Dr Suite 308, Reston VA 20190-3292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Chung, Tae Joon can be contacted via phone (703) 668-0700.Contact Information
Primary practice address
1830 Town Center Dr Suite 308
Reston VA 20190-3292
Phone: (703) 668-0700
Fax: (703) 668-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0101232063 | Virginia |
Profile Details
| NPI number | 1922118306 |
|---|---|
| LBN Legal business name | Chung, Tae Joon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 8th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922118306 | NPPES |
| Virginia | Other | P00209343 | MEDICARE RAILROAD |
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