MEDICARE: DR. ALAN J CHUN M.D.

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
1	207Q00000X	Family Medicine Physician	MD00029502	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5672027	OTHER		AETNA
2	129721	OTHER	WA	L&I
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	CH8781	OTHER		REGENCE BLUESHIELD

General Provider Information

NPI Number	:	1326156084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN J CHUN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 24911
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-0911
Country	:	US
Telephone Number	:	206-788-3683
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 8TH AVE S
Second Line	:	SUITE 100
City	:	SEATTLE
State	:	WA
Zip	:	98104-3032
Country	:	US
Telephone Number	:	206-788-3740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	10/31/2007

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