Healthcare Provider Details
I. General information
NPI: 1235234352
Provider Name (Legal Business Name): MICHAEL S. CHUNE DO INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7901 SCHATZ POINTE DR STE. B
DAYTON OH
45459-3856
US
IV. Provider business mailing address
PO BOX 643297
CINCINNATI OH
45264-3297
US
V. Phone/Fax
- Phone: 937-291-0386
- Fax: 937-291-2254
- Phone: 800-451-8186
- Fax: 937-291-2962
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
S
CHUNE
Title or Position: PRESIDENT
Credential: DO
Phone: 937-291-0386