Hung, Jerry Bauloong
Hung, Jerry Bauloong is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Hung, Jerry Bauloong can be contacted via phone (918) 784-1535.Contact Information
Primary practice address
4420 Lake Boone Trl
Raleigh NC 27607-7505
Phone: (918) 784-1535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2010-01969 | North Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME98151 | Florida |
Profile Details
| NPI number | 1528121563 |
|---|---|
| LBN Legal business name | Hung, Jerry Bauloong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Sep 28th, 2023 - about 3 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 | 1528121563 | NPPES |
| Florida | Other | 18636 | BLUE CROSS BLUE SHIELD |
| Florida | Other | P00434938 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 2010-01969 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 229139 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 18636 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 279560400 | BLUE CROSS BLUE SHIELD |
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