Individual
JIN BAIK CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 E MAIN ST, NEW LEBANON, OH 45345-1299
(937) 687-1331
(937) 687-3216
Mailing address
220 E MAIN ST, NEW LEBANON, OH 45345-1299
(937) 687-1331
(937) 687-3216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.042055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364056
—
OH
Enumeration date
06/08/2006
Last updated
11/13/2013
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