Bang, Christine Ko

Bang, Christine Ko is an individual health care provider with primary practice located at 2370 Market Dr , Fleming Island FL 32003-4326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Bang, Christine Ko can be contacted via phone (904) 264-6201.

Contact Information

Primary practice address
2370 Market Dr Fleming Island FL 32003-4326
Phone: (904) 264-6201
Fax: (904) 264-6858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME123077 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0101242870 Virginia

Profile Details

NPI number 1699824946
LBN Legal business name Bang, Christine Ko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 29th, 2015 - about 11 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 1699824946 NPPES
Florida Other 382565 AVMED
Florida Other 150CE AVMED
Florida Other 4885776 AVMED
Florida MEDICAID 014628400 AVMED

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