Chong, Chaysen
Chong, Chaysen is an sole proprietor health care provider with primary practice located at 260 W Honeysuckle Ave , Hayden ID 83835-9270. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Chong, Chaysen can be contacted via phone (208) 762-0185.Contact Information
Primary practice address
260 W Honeysuckle Ave
Hayden ID 83835-9270
Phone: (208) 762-0185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P8724 | Idaho |
Profile Details
| NPI number | 1174110472 |
|---|---|
| LBN Legal business name | Chong, Chaysen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2020 |
| Last updated | Dec 21st, 2020 - about 6 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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