Tae Jung M.D., Inc.

LBN: Tae Jung M.D., Inc.
Tae Jung M.D., Inc. is an health care organization with primary practice located at 15424 Sprucevale Rd , East Liverpool OH 43920-9200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tae Jung M.D., Inc. can be contacted via phone (330) 382-0388, or through Jung, Tae Hui via phone (330) 382-0388.

Contact Information

Primary practice address
15424 Sprucevale Rd East Liverpool OH 43920-9200
Phone: (330) 382-0388
Fax: (330) 382-0389
Website:
Map and Directions
Authorized official contact:
Name: Jung, Tae Hui Doctor of Medicine (MD)
Phone: (330) 382-0388

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35078382J Ohio

Profile Details

NPI number 1306021878
LBN Legal business name Tae Jung M.D., Inc.
DBA Doing business as
Authorized official Jung, Tae Hui Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Dec 13th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306021878 NPPES
Ohio Other 1306021878 NPI GROUP NUMBER
Ohio Other SP00791 NPI GROUP NUMBER
Ohio MEDICAID 2205527 NPI GROUP NUMBER

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