Hwan, Jung Jang
Hwan, Jung Jang is an individual health care provider with primary practice located at 709 N State St , Clarks Summit PA 18411-9139. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hwan, Jung Jang can be contacted via phone (570) 587-4394.Contact Information
Primary practice address
709 N State St
Clarks Summit PA 18411-9139
Phone: (570) 587-4394
Fax: (570) 587-0300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Pennsylvania |
Profile Details
| NPI number | 1114928553 |
|---|---|
| LBN Legal business name | Hwan, Jung Jang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114928553 | NPPES |
| Pennsylvania | MEDICAID | 01060147703 |
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