Jung, Kyonghwa
Jung, Kyonghwa is an individual health care provider with primary practice located at 520 Summit Avenue , Hackensack NJ 07601. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jung, Kyonghwa can be contacted via phone (201) 488-9030.Contact Information
Primary practice address
520 Summit Avenue
Hackensack NJ 07601
Phone: (201) 488-9030
Fax: (201) 488-9130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 23137 | New Jersey |
Profile Details
| NPI number | 1598931750 |
|---|---|
| LBN Legal business name | Jung, Kyonghwa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2008 |
| Last updated | Feb 23rd, 2012 - about 13 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 | 1598931750 | NPPES |
| New Jersey | MEDICAID | 0180653 |
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