Younho Chung Md Pc | |
497 Columbia Ave E Ste 13 Battle Creek MI 49014-5463 | |
(269) 969-6060 | |
Not Available |
Full Name | Younho Chung Md Pc |
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Speciality | Internal Medicine |
Location | 497 Columbia Ave E Ste 13, Battle Creek, Michigan |
Authorized Official Name and Position | Elaine Taylor (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 8102307042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Younho Chung Md Pc 497 Columbia Ave E Ste 13 Battle Creek MI 49014-5463 Ph: (269) 969-6060 | Younho Chung Md Pc 497 Columbia Ave E Ste 13 Battle Creek MI 49014-5463 Ph: (269) 969-6060 |
NPI Number | 1811190101 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 02/09/2018 |
Medicare PECOS PAC ID | 4789625732 |
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Medicare Enrollment ID | O20050519000577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811190101 | NPI | - | NPPES |
3464952 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301069853 (Michigan) | Primary |
Provider Name | Younho Chung |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881898104 PECOS PAC ID: 3577504521 Enrollment ID: I20050524000512 |
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