| Chitin Business Solutions Llc | |
|
23515 Highway 190 Mandeville LA 70448-7334 | |
| (985) 626-6300 | |
| (985) 781-4319 |
| Full Name | Chitin Business Solutions Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23515 Highway 190, Mandeville, Louisiana |
| Authorized Official Name and Position | Hyon S Kim (OWNER) |
| Authorized Official Contact | 9857810548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chitin Business Solutions Llc 91 Cardinal Ln Mandeville LA 70471-6758 Ph: (985) 781-0548 | Chitin Business Solutions Llc 23515 Highway 190 Mandeville LA 70448-7334 Ph: (985) 626-6300 |
| NPI Number | 1982373288 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Medicare PECOS PAC ID | 9436547049 |
|---|---|
| Medicare Enrollment ID | O20211102000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982373288 | NPI | - | NPPES |
| 1006009 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hyon S Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700079274 PECOS PAC ID: 9638330590 Enrollment ID: I20120419000767 |
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