Edmund Jung in Kenosha - General Practice

Edmund Jung - NPI 1053478115

Edmund Jung is a General Practice in Kenosha, Wisconsin. Edmund Jung practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edmund Jung is 1053478115. The last update date is 2007-07-08.

Edmund Jung's current location address is 3715 Washington Rd, Kenosha, Wisconsin. You can contact this provider via phone number 2626546800 and fax number 2626579995. The mailing address for Edmund Jung is 3715 Washington Rd, Kenosha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Edmund Jung
Address 3715 Washington Rd, Kenosha, Wisconsin
Phone Number 2626546800
Fax Number 2626579995
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1053478115
Provider Enumeration Date 2007-01-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3715 Washington Rd
City Kenosha
State Wisconsin (WI)
Post Code 531441629
Phone Number 2626546800
Fax Number 2626579995

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1687
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Edmund Jung

What is the unique provider identifier assigned to Edmund Jung?

The Edmund Jung has been issued the NPI (National Provider Identifier) 1053478115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Edmund Jung?

The Edmund Jung is physically situated at 3715 Washington Rd, in the city of Kenosha, state of WI, with the postal code 531441629.

What is Edmund Jung's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Edmund Jung is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did Edmund Jung receive its 1053478115 assignment?

The Edmund Jung was assigned its 1053478115 on 2007-01-01, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Edmund Jung most recently updated or revised?

The information pertaining to Edmund Jung, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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