Chung, Rachel Seoyoon
Chung, Rachel Seoyoon is an individual health care provider with primary practice located at 5530 Wisconsin Ave Ste 1455 , Chevy Chase MD 20815-4302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Chung, Rachel Seoyoon can be contacted via phone (301) 656-6700.Contact Information
Primary practice address
5530 Wisconsin Ave Ste 1455
Chevy Chase MD 20815-4302
Phone: (301) 656-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | C07563 | Maryland |
Profile Details
| NPI number | 1740892330 |
|---|---|
| LBN Legal business name | Chung, Rachel Seoyoon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2020 |
| Last updated | Apr 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740892330 | NPPES |
| Virginia | Other | 0110-007297 | STATE LICENSURE |
| Virginia | Other | C07563 | STATE LICENSURE |
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