Provider Demographics
NPI:1538164371
Name:CHONG, CHAK HYON (DC)
Entity type:Individual
Prefix:DR
First Name:CHAK
Middle Name:HYON
Last Name:CHONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:10684 CRESTWOOD DR
Mailing Address - Street 2:STE A
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-4400
Mailing Address - Country:US
Mailing Address - Phone:703-366-3332
Mailing Address - Fax:703-366-2770
Practice Address - Street 1:10684 CRESTWOOD DR
Practice Address - Street 2:STE A
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-4400
Practice Address - Country:US
Practice Address - Phone:703-366-3332
Practice Address - Fax:703-366-2770
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2011-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0104555880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00V846S91Medicare UPIN