Chae, Young Soo
Chae, Young Soo is an sole proprietor health care provider with primary practice located at 2 State Route 27 Suite 111, Edison NJ 08820-3976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chae, Young Soo can be contacted via phone (732) 632-8094.Contact Information
Primary practice address
2 State Route 27 Suite 111
Edison NJ 08820-3976
Phone: (732) 632-8094
Fax: (732) 632-8096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06609900 | New Jersey |
Profile Details
| NPI number | 1124136031 |
|---|---|
| LBN Legal business name | Chae, Young Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Sep 19th, 2012 - about 14 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 | 1124136031 | NPPES |
| New Jersey | MEDICAID | 7993609 |
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