Individual
DR. YONG S CHAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1910 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1037
(765) 362-7200
(765) 362-4870
Mailing address
1910 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1037
(765) 362-7200
(765) 362-4870
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000857A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07000857A
LICENSE NUMBER
IN
05
—
200178610
—
IN
01
—
236070A
MEDICARE PTAN
IN
Enumeration date
05/12/2006
Last updated
05/01/2024
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