Chi, Hogeun

Chi, Hogeun is an individual health care provider with primary practice located at 4601 16Th St , Moline IL 61265-7000. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chi, Hogeun can be contacted via phone (309) 797-0888.

Contact Information

Primary practice address
4601 16Th St Moline IL 61265-7000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.031934 Illinois

Profile Details

NPI number 1659840908
LBN Legal business name Chi, Hogeun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2018
Last updated Nov 15th, 2018 - about 8 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 1659840908 NPPES
Illinois MEDICAID 019.031934

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