Chung, Tae Sung

Chung, Tae Sung is an individual health care provider with primary practice located at 500 Hospital Dr , Warrenton VA 20186-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Chung, Tae Sung can be contacted via phone (540) 316-5080.

Contact Information

Primary practice address
500 Hospital Dr Warrenton VA 20186-3027
Fax: (540) 316-5081
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101056148 Virginia

Profile Details

NPI number 1417942566
LBN Legal business name Chung, Tae Sung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 31st, 2017 - about 7 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 1417942566 NPPES
Virginia Other 611523121 GROUP TAX ID

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