Cho, Jai Jong
Cho, Jai Jong is an sole proprietor health care provider with primary practice located at 3046 Berkmar Dr Suite B, Charlottesville VA 22901-1444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cho, Jai Jong can be contacted via phone (434) 973-3356.Contact Information
Primary practice address
3046 Berkmar Dr Suite B
Charlottesville VA 22901-1444
Phone: (434) 973-3356
Fax: (434) 973-2363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101034437 | Virginia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 0101034437 | Virginia |
Profile Details
| NPI number | 1316979784 |
|---|---|
| LBN Legal business name | Cho, Jai Jong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 10th, 2009 - about 17 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 | 1316979784 | NPPES |
| Virginia | Other | 080000239 | MEDICARE PTAN |
| Virginia | MEDICAID | 5628547 | MEDICARE PTAN |
| Virginia | Other | 361921 | MEDICARE PTAN |
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