Chung, Thomas S.
Chung, Thomas S. is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Chung, Thomas S. can be contacted via phone (314) 289-6324.Contact Information
Primary practice address
915 N Grand Blvd
Saint Louis MO 63106-1621
Phone: (314) 289-6324
Fax: (314) 289-6322
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036-104163 | Illinois |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | A78262 | California |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 01067637A | Indiana |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2013012262 | Missouri |
Profile Details
NPI number | 1962473751 |
---|---|
LBN Legal business name | Chung, Thomas S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2006 |
Last updated | Mar 11th, 2024 - about 6 months 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 | 1962473751 | NPPES |
Indiana | MEDICAID | 200969650 | |
Indiana | MEDICAID | 3008471 |
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