Carritte, Deborah Michelle Chung
Carritte, Deborah Michelle Chung is an sole proprietor health care provider with primary practice located at 24785 Stewart St Ste 204 , Loma Linda CA 92350-1721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Carritte, Deborah Michelle Chung can be contacted via phone (909) 558-0451.Contact Information
Primary practice address
24785 Stewart St Ste 204
Loma Linda CA 92350-1721
Phone: (909) 558-0451
Fax: (909) 651-5809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G606090 | California |
Profile Details
| NPI number | 1932140910 |
|---|---|
| LBN Legal business name | Carritte, Deborah Michelle Chung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 26th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932140910 | NPPES |
| California | MEDICAID | 00G60690 | |
| California | MEDICAID | 1932140901 |
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