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NPI Code Detail

MEDICARE: CHANIL JUNG D.C.

MEDICARE:   CHANIL  JUNG  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor60415454WA

General Provider Information

NPI Number : 1295165108
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANIL JUNG D.C.
Provider Business Mailing Address
First Line : 6840 FORT DENT WAY STE 120
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2595
Country : US
Telephone Number : 206-466-1880
Fax Number : 206-466-1880
Provider Business Practice Location Address
First Line : 6840 FORT DENT WAY STE 120
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2595
Country : US
Telephone Number : 206-466-1880
Fax Number : 206-466-1880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2013
Last Update Date : 10/29/2017

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Directions to “ CHANIL JUNG D.C.” Practice Location

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