Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 9576 | MT |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 9576 | MT |
NPI | 1275577249 |
---|---|
Provider Name | Dr. Alexander N Chung |
First Address | Great Falls, MT 59405-5183 |
Second Address | Great Falls, MT 59405-5183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 01/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000092241 | BLUE CROSS BLUE SHIELD (01) | MT |
0027833 | (05) | MT |
0148236 | WASHINGTON L & I (01) | MT |
184609700 | FEDERAL WORK COMP (01) | MT |
200039889 | RAILROAD MEDICARE (01) | MT |
810347861 | CHAMPUS (01) | MT |
810347861011 | EBMS (01) | MT |
H27822 | (02) | MT |