Jin, Chang Kon

Jin, Chang Kon is an individual health care provider with primary practice located at 1010 Christine Ave , Anniston AL 36207-5710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Jin, Chang Kon can be contacted via phone (256) 236-5631.

Contact Information

Primary practice address
1010 Christine Ave Anniston AL 36207-5710
Phone: (256) 236-5631
Fax: (256) 236-5637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 00006505 Alabama

Profile Details

NPI number 1770504649
LBN Legal business name Jin, Chang Kon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Apr 16th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770504649 NPPES
Alabama Other 3610078 UNITED HEALTHCARE

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