Jung, Bong

Jung, Bong is an sole proprietor health care provider with primary practice located at 4705 Towne Centre Rd Suite 102, Saginaw MI 48604-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jung, Bong can be contacted via phone (989) 791-4718.

Contact Information

Primary practice address
4705 Towne Centre Rd Suite 102 Saginaw MI 48604-2818
Phone: (989) 791-4718
Fax: (989) 791-4882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X BJ040138 Michigan

Profile Details

NPI number 1619953197
LBN Legal business name Jung, Bong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Aug 6th, 2013 - about 11 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 1619953197 NPPES
Other 104020 GREAT LAKES HEALTH PLAN
Other 130026263 GREAT LAKES HEALTH PLAN
MEDICAID 1748983 GREAT LAKES HEALTH PLAN
Other 0730194 GREAT LAKES HEALTH PLAN
Other 1307309121 GREAT LAKES HEALTH PLAN
Other 1307309121 GREAT LAKES HEALTH PLAN

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