Chung, Vicki
Chung, Vicki is an individual health care provider with primary practice located at 1218 S Cashua Dr , Florence SC 29501-6319. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Chung, Vicki can be contacted via phone (843) 667-6460.Contact Information
Primary practice address
1218 S Cashua Dr
Florence SC 29501-6319
Phone: (843) 667-6460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3768 | South Carolina |
Profile Details
| NPI number | 1902952401 |
|---|---|
| LBN Legal business name | Chung, Vicki |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1902952401 | NPPES |
| South Carolina | MEDICAID | ZA9616 |
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