Chon, Stephanie Cc Yu
Chon, Stephanie Cc Yu is an individual health care provider with primary practice located at 4190 E Woodmen Rd Ste 100 , Colorado Springs CO 80920-8075. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Chon, Stephanie Cc Yu can be contacted via phone (719) 632-4455.Contact Information
Primary practice address
4190 E Woodmen Rd Ste 100
Colorado Springs CO 80920-8075
Phone: (719) 632-4455
Fax: (719) 418-2123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 991605 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 590290 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RXN0101155NP | Colorado |
Profile Details
| NPI number | 1275835530 |
|---|---|
| LBN Legal business name | Chon, Stephanie Cc Yu |
| Credentials | RN CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2010 |
| Last updated | Sep 10th, 2018 - about 7 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 | 1275835530 | NPPES |
| Colorado | Other | APN.0091605-NP | COLORADO ADVANCE PRACTICE LICENSE |
| Colorado | Other | 590290 | COLORADO ADVANCE PRACTICE LICENSE |
| Colorado | MEDICAID | 94435821 | COLORADO ADVANCE PRACTICE LICENSE |
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