Yi, Chong U

Yi, Chong U is an individual health care provider with primary practice located at 2030 Lochaven Rd , West Bloomfield MI 48324-3919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yi, Chong U can be contacted via phone (248) 937-0212.

Contact Information

Primary practice address
2030 Lochaven Rd West Bloomfield MI 48324-3919
Phone: (248) 937-0212
Fax: (248) 366-4510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301084543 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.090527 Ohio

Profile Details

NPI number 1366641573
LBN Legal business name Yi, Chong U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Oct 20th, 2011 - about 13 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 1366641573 NPPES
Ohio MEDICAID 2797951
Ohio MEDICAID 1174841100

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