Choi, Kwang H
Choi, Kwang H is an individual health care provider with primary practice located at 9645 Lincolnway Ln Ste 207A , Frankfort IL 60423-1908. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Choi, Kwang H can be contacted via phone (815) 277-7012.Contact Information
Primary practice address
9645 Lincolnway Ln Ste 207A
Frankfort IL 60423-1908
Phone: (815) 277-7012
Fax: (844) 859-1447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041982A | Indiana |
Profile Details
| NPI number | 1770592990 |
|---|---|
| LBN Legal business name | Choi, Kwang H |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Dec 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770592990 | NPPES |
| Indiana | Other | 000000361964 | ANTHEM BCBS |
| Indiana | MEDICAID | 200542420 | ANTHEM BCBS |
| Indiana | Other | 800579000 | ANTHEM BCBS |
| Indiana | Other | 90001228 | ANTHEM BCBS |
| Indiana | Other | N7997725 | ANTHEM BCBS |
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