Oh, Chang Kyeong

Oh, Chang Kyeong is an individual health care provider with primary practice located at 2544 Court Dr Ste G , Gastonia NC 28054-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Oh, Chang Kyeong can be contacted via phone (704) 854-9990.

Contact Information

Primary practice address
2544 Court Dr Ste G Gastonia NC 28054-3450
Phone: (704) 854-9990
Fax: (704) 854-9045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01067834A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2016-02536 North Carolina

Profile Details

NPI number 1316989288
LBN Legal business name Oh, Chang Kyeong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 25th, 2017 - about 8 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 1316989288 NPPES
Indiana Other 000000659151 BCBS
Indiana MEDICAID 200981250 BCBS

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