Shin, Chung K

Shin, Chung K is an sole proprietor health care provider with primary practice located at 91 East Ave , Norwalk CT 06851-5020. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shin, Chung K can be contacted via phone (203) 855-9806.

Contact Information

Primary practice address
91 East Ave Norwalk CT 06851-5020
Phone: (203) 855-9806
Fax: (203) 855-1135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 037720 Connecticut

Profile Details

NPI number 1386791143
LBN Legal business name Shin, Chung K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 19 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 1386791143 NPPES
Connecticut Other 0V7050 HEALTHNET
Connecticut Other 01377200CT03 HEALTHNET
Connecticut Other P2061278 HEALTHNET
Connecticut Other 037720 HEALTHNET
Connecticut Other 178311 HEALTHNET
Connecticut Other 2322912 HEALTHNET
Connecticut Other 3324246-004 HEALTHNET

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