Chung, Matthew
Chung, Matthew is an individual health care provider with primary practice located at 1691 Innovation Dr Ste 2100 , Blacksburg VA 24060-6618. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Chung, Matthew can be contacted via phone (540) 232-8405.Contact Information
Primary practice address
1691 Innovation Dr Ste 2100
Blacksburg VA 24060-6618
Phone: (540) 232-8405
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 0102205221 | Virginia |
Profile Details
| NPI number | 1629457098 |
|---|---|
| LBN Legal business name | Chung, Matthew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2015 |
| Last updated | Jun 9th, 2022 - about 3 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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