Search › Idaho › 183500000X
Chaysen Chong
NPI 1174110472 · on the registry since 2020 · sole proprietor
Practice
- Address
- 260 W Honeysuckle Ave
Hayden, ID 83835 - Phone
- (208) 762-0185
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho