Doctor Name: | DR. JOSEPH MOOHUM CHUNG |
NPI Number: | 1053506816 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301037738 |
Business Practice Address: | 1727 W Bluewater Hwy Bellamy Creek Correctional Facility Ionia, MI - 488468647 |
Business Phone Number: | 6165272510 |
Business Fax Number: | |
Mailing Address: | 1727 W Bluewater Hwy, Bellamy Creek Correctional Facility IONIA |
State: | MI |
Postal Code: | 488468647 |
Phone Number: | 6165272510 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0805X |
License Number: | 4301037738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Geriatric Psychiatry |
Taxonomy Definition: | Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |