Chung, Won G

Chung, Won G is an individual health care provider with primary practice located at 640 Jackson St Ms 11102F, Saint Paul MN 55101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chung, Won G can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson St Ms 11102F Saint Paul MN 55101
Phone: (651) 254-3456
Fax: (651) 254-5216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 60298 Connecticut
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43262 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43488 Minnesota

Profile Details

NPI number 1962477513
LBN Legal business name Chung, Won G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated May 29th, 2018 - about 6 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 1962477513 NPPES
Minnesota MEDICAID 874660500
Minnesota MEDICAID 60298

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