Healthcare Provider Details

I. General information

NPI: 1538103296
Provider Name (Legal Business Name): MICHAEL S. CHUNE DO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 10/05/2009
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

Practice location:
  • Phone: 937-291-0386
  • Fax: 937-291-2254
Mailing address:
  • Phone: 800-451-8186
  • Fax: 937-291-2962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL S CHUNE
Title or Position: OWNER
Credential: DO
Phone: 937-291-0386