Kyung Ai Mireille Chae in Manitowoc - Pediatric Dermatology
Kyung Ai Mireille Chae - NPI 1932101060
Kyung Ai Mireille Chae is a Pediatric Dermatology in Manitowoc, Wisconsin. Kyung Ai Mireille Chae practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Kyung Ai Mireille Chae is 1932101060. The last update date is 2021-02-15.
Kyung Ai Mireille Chae's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206835278 and fax number 9206869674. The mailing address for Kyung Ai Mireille Chae is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyung Ai Mireille Chae |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206835278 |
| Fax Number | 9206869674 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932101060 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2021-02-15 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 5422046300 |
| Phone Number | 9206835278 |
| Fax Number | 9206869674 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dermatology |
|---|---|
| Taxonomy | 207Np0225X |
| Licence No | 67321-20 |
|
Definition: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 306311900 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kyung Ai Mireille Chae by the Centers for Medicare & Medicaid Services?
The Kyung Ai Mireille Chae has been issued the NPI (National Provider Identifier) 1932101060. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kyung Ai Mireille Chae?
The Kyung Ai Mireille Chae is situated at 801 York St, in the city of Manitowoc, state of WI, with the zip code 5422046300.
What is Kyung Ai Mireille Chae's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kyung Ai Mireille Chae's area of specialization is Pediatric Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Np0225X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932101060 to Kyung Ai Mireille Chae?
The Centers for Medicare & Medicaid Services assigned the 1932101060 to Kyung Ai Mireille Chae on 2005-06-01.
As of what date were the Kyung Ai Mireille Chae's details last updated?
The information pertaining to the Kyung Ai Mireille Chae, including its address, specialty, and other details, was most recently updated on 2021-02-15.