Chung, Jason

Chung, Jason is an individual health care provider with primary practice located at 11567 Canterwood Blvd , Gig Harbor WA 98332-5812. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Chung, Jason can be contacted via phone (253) 426-6341.

Contact Information

Primary practice address
11567 Canterwood Blvd Gig Harbor WA 98332-5812
Phone: (253) 426-6341
Fax: (253) 426-6344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60607391 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60607391 Washington

Profile Details

NPI number 1770923476
LBN Legal business name Chung, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2013
Last updated Feb 16th, 2021 - about 5 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 1770923476 NPPES
Washington MEDICAID 2060098

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